| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,108 |
1,052 |
$74K |
| 87428 |
|
441 |
418 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
119 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
45 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
195 |
184 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
203 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99460 |
|
13 |
13 |
$647.52 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$631.48 |
| 90461 |
|
12 |
12 |
$373.92 |
| 99462 |
|
13 |
12 |
$315.65 |