| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,140 |
1,875 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
893 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
422 |
392 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
834 |
754 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
321 |
291 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
212 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
77 |
$5K |
| 90649 |
|
45 |
42 |
$2K |
| 90734 |
|
59 |
55 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
75 |
$984.06 |
| 90658 |
|
110 |
87 |
$937.52 |
| 90710 |
|
18 |
14 |
$471.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
903 |
780 |
$360.52 |
| 90716 |
|
15 |
14 |
$242.00 |
| 90715 |
|
20 |
20 |
$220.00 |
| 90461 |
|
528 |
474 |
$215.10 |
| 90707 |
|
14 |
13 |
$191.92 |
| 90657 |
|
21 |
15 |
$176.79 |
| 90696 |
|
14 |
13 |
$170.35 |