| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,410 |
5,865 |
$271K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
966 |
958 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,745 |
3,551 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
837 |
810 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
614 |
603 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
545 |
513 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,053 |
1,984 |
$27K |
| 99460 |
|
254 |
251 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
218 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
311 |
303 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
191 |
189 |
$6K |
| 99462 |
|
159 |
130 |
$5K |
| 90700 |
|
667 |
648 |
$2K |
| 90713 |
|
514 |
498 |
$2K |
| 90658 |
|
343 |
332 |
$1K |
| 90744 |
|
58 |
55 |
$101.00 |
| 90707 |
|
41 |
39 |
$100.54 |
| 90461 |
|
263 |
196 |
$21.00 |
| 90715 |
|
13 |
12 |
$0.00 |