| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,350 |
2,980 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
745 |
728 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
143 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| 81000 |
|
756 |
743 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 85018 |
|
670 |
658 |
$861.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$228.16 |
| 87070 |
|
27 |
25 |
$158.47 |
| 99050 |
|
14 |
13 |
$83.27 |
| 90461 |
|
25 |
24 |
$24.00 |