| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
758 |
708 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
64 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
111 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
112 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
50 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
251 |
$762.24 |
| 90700 |
|
46 |
46 |
$566.36 |
| 90713 |
|
29 |
29 |
$398.70 |
| 92552 |
|
13 |
13 |
$355.22 |
| 90651 |
|
13 |
13 |
$318.59 |
| 85018 |
|
96 |
96 |
$261.88 |
| 90461 |
|
121 |
121 |
$230.74 |
| 90670 |
|
17 |
17 |
$176.00 |
| 99173 |
|
96 |
94 |
$167.63 |
| 83655 |
|
12 |
12 |
$160.67 |
| 90648 |
|
12 |
12 |
$132.00 |
| 99177 |
|
38 |
38 |
$113.56 |
| 96160 |
|
37 |
37 |
$108.25 |
| 36416 |
|
121 |
117 |
$92.32 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
185 |
171 |
$0.00 |