| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,372 |
5,203 |
$438K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,183 |
1,135 |
$28K |
| 92552 |
|
718 |
717 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
143 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
119 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
88 |
$8K |
| 87070 |
|
1,666 |
1,561 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
36 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
270 |
$3K |
| 81000 |
|
603 |
595 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$2K |
| 99173 |
|
416 |
416 |
$1K |
| 99441 |
|
12 |
12 |
$700.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
41 |
$463.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$266.00 |
| 90686 |
|
66 |
66 |
$227.10 |
| 99072 |
|
734 |
645 |
$0.00 |
| 99000 |
|
92 |
92 |
$0.00 |