| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
448 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
114 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
77 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
33 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
79 |
$1K |
| 92551 |
|
113 |
110 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
20 |
$694.15 |
| 90686 |
|
35 |
35 |
$489.55 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
19 |
$311.00 |
| 99173 |
|
65 |
64 |
$160.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
12 |
$0.00 |