| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
466 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
245 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
119 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
143 |
$2K |
| 99050 |
|
79 |
79 |
$1K |
| 99383 |
|
14 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$1K |
| 99188 |
|
30 |
30 |
$339.48 |
| 94760 |
|
139 |
135 |
$204.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$196.09 |
| 90686 |
|
58 |
58 |
$0.00 |
| 90633 |
|
48 |
47 |
$0.00 |
| 90670 |
|
30 |
29 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |