| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,429 |
1,298 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
726 |
714 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 92551 |
|
514 |
510 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$2K |
| 99173 |
|
513 |
508 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90688 |
|
125 |
125 |
$823.61 |
| 90461 |
|
16 |
16 |
$555.78 |
| 96127 |
|
66 |
66 |
$198.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$63.69 |
| 96160 |
|
37 |
36 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90674 |
|
156 |
94 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
39 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |