| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
266 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
51 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
48 |
$900.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
31 |
$401.35 |
| 94760 |
|
89 |
87 |
$195.43 |
| 36416 |
|
19 |
19 |
$80.82 |
| 81002 |
|
15 |
14 |
$39.22 |
| 99000 |
|
39 |
37 |
$0.00 |
| 90686 |
|
44 |
44 |
$0.00 |
| 97803 |
|
132 |
132 |
$0.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
14 |
14 |
$0.00 |
| 87999 |
|
31 |
30 |
$0.00 |