| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,786 |
1,636 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
352 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
221 |
191 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
235 |
235 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
54 |
54 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$771.84 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |