| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,732 |
4,477 |
$373K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
361 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
940 |
937 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
618 |
618 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
319 |
312 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
274 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 0071A |
|
23 |
23 |
$920.00 |
| 0072A |
|
18 |
18 |
$720.00 |
| 92551 |
|
12 |
12 |
$88.31 |
| 90686 |
|
605 |
603 |
$0.03 |
| 91307 |
|
32 |
29 |
$0.00 |
| 90656 |
|
36 |
36 |
$0.00 |