| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,243 |
1,839 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
477 |
469 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$5K |
| 81002 |
|
541 |
536 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$936.20 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$925.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
90 |
$833.35 |
| 90688 |
|
141 |
141 |
$78.03 |
| 91307 |
|
15 |
14 |
$0.00 |