| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
188 |
183 |
$17K |
| 99402 |
|
395 |
379 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
926 |
647 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
498 |
446 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
189 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
285 |
268 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
209 |
$3K |
| 85018 |
|
508 |
482 |
$1K |
| 85014 |
|
500 |
480 |
$1K |
| 92551 |
|
169 |
163 |
$1K |
| 81002 |
|
362 |
347 |
$867.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$223.52 |
| 90658 |
|
166 |
159 |
$0.21 |
| 3008F |
|
1,390 |
1,158 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 99401 |
|
27 |
26 |
$0.00 |