| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,196 |
1,064 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,056 |
895 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,232 |
1,053 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
64 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
57 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
17 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
56 |
$595.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
65 |
$197.99 |
| 90685 |
|
43 |
39 |
$40.00 |
| 90686 |
|
137 |
136 |
$10.00 |
| 90461 |
|
232 |
211 |
$0.00 |
| 90670 |
|
26 |
25 |
$0.00 |