| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,846 |
1,698 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
468 |
467 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
197 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
142 |
$1K |
| 99173 |
|
250 |
250 |
$855.06 |
| 85018 |
|
418 |
417 |
$823.94 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
148 |
148 |
$608.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
61 |
$564.96 |
| 81003 |
|
264 |
263 |
$504.75 |
| 92551 |
|
275 |
275 |
$494.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
235 |
$398.68 |
| 90670 |
|
193 |
192 |
$189.00 |
| 90680 |
|
118 |
117 |
$108.00 |
| 90698 |
|
164 |
163 |
$92.25 |
| 90633 |
|
85 |
85 |
$81.00 |
| 90744 |
|
80 |
79 |
$81.00 |
| 90710 |
|
26 |
26 |
$27.00 |
| 90656 |
|
12 |
12 |
$27.00 |
| 90696 |
|
27 |
27 |
$27.00 |
| 90688 |
|
16 |
16 |
$0.00 |