| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
973 |
856 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
532 |
500 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
819 |
659 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
366 |
329 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
416 |
360 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
166 |
$9K |
| 99460 |
|
135 |
126 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
66 |
$4K |
| 92587 |
|
192 |
160 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
111 |
102 |
$3K |
| 54150 |
|
16 |
15 |
$507.17 |
| 99462 |
|
14 |
12 |
$276.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$179.44 |
| 90681 |
|
98 |
74 |
$15.87 |
| 90648 |
|
370 |
283 |
$10.28 |
| 90670 |
|
311 |
247 |
$10.25 |
| 90461 |
|
624 |
505 |
$10.00 |
| 90723 |
|
252 |
198 |
$0.23 |
| 90633 |
|
270 |
222 |
$0.15 |
| 90700 |
|
28 |
25 |
$0.02 |
| 90686 |
|
12 |
12 |
$0.00 |