| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
953 |
890 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,203 |
1,108 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
961 |
932 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
128 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
116 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
74 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
46 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
46 |
$540.77 |
| 90633 |
|
16 |
16 |
$208.00 |
| 90686 |
|
272 |
268 |
$13.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| 90680 |
|
26 |
25 |
$0.00 |
| 90698 |
|
26 |
25 |
$0.00 |
| 90670 |
|
69 |
68 |
$0.00 |