| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,685 |
3,949 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,035 |
1,919 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
742 |
677 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
651 |
588 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
370 |
337 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
223 |
192 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
180 |
145 |
$2K |
| 81002 |
|
179 |
155 |
$349.12 |
| 90670 |
|
230 |
218 |
$343.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$306.52 |
| 90648 |
|
291 |
279 |
$279.54 |
| 90723 |
|
144 |
134 |
$105.00 |
| 90681 |
|
40 |
39 |
$60.00 |
| 90671 |
|
62 |
56 |
$0.29 |
| 90734 |
|
17 |
17 |
$0.02 |
| 90658 |
|
74 |
73 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90657 |
|
34 |
33 |
$0.00 |