| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,467 |
1,196 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
264 |
263 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
242 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
155 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
144 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
492 |
487 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
110 |
$4K |
| 99381 |
|
28 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
106 |
$1K |
| 83655 |
|
90 |
89 |
$1K |
| 97802 |
|
152 |
150 |
$625.00 |
| 99188 |
|
67 |
66 |
$469.55 |
| 36416 |
|
142 |
141 |
$410.00 |
| 87081 |
|
74 |
74 |
$344.18 |
| 85018 |
|
77 |
76 |
$183.10 |
| 99051 |
|
12 |
12 |
$65.00 |
| 96161 |
|
17 |
16 |
$28.34 |
| 90461 |
|
320 |
319 |
$14.00 |
| 90670 |
|
200 |
199 |
$0.00 |
| 99173 |
|
127 |
127 |
$0.00 |
| 90681 |
|
63 |
63 |
$0.00 |
| 90633 |
|
65 |
64 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| 90723 |
|
148 |
148 |
$0.00 |
| 90647 |
|
143 |
142 |
$0.00 |
| 90688 |
|
37 |
37 |
$0.00 |