| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,081 |
2,537 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,739 |
1,497 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
714 |
711 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,994 |
1,947 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
455 |
452 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
289 |
273 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$6K |
| 99173 |
|
582 |
582 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$529.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
76 |
$373.53 |
| 90686 |
|
13 |
13 |
$0.00 |