| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
856 |
827 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
464 |
445 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
136 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
72 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 92081 |
|
39 |
39 |
$631.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$454.53 |
| 92551 |
|
76 |
76 |
$437.15 |
| 99173 |
|
100 |
98 |
$227.40 |
| 87081 |
|
29 |
29 |
$165.34 |
| 90686 |
|
149 |
145 |
$68.06 |
| 90461 |
|
142 |
139 |
$0.00 |