| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,883 |
5,936 |
$280K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,192 |
2,723 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,250 |
1,222 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,122 |
1,074 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,583 |
1,367 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
404 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
386 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
630 |
568 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
93 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
202 |
151 |
$4K |
| 90670 |
|
595 |
575 |
$2K |
| 99326 |
|
16 |
13 |
$847.44 |
| 99348 |
|
15 |
13 |
$738.24 |
| 90698 |
|
127 |
124 |
$205.33 |
| 90680 |
|
200 |
194 |
$115.82 |
| 90633 |
|
57 |
52 |
$74.60 |
| 90686 |
|
207 |
205 |
$44.03 |
| 90671 |
|
146 |
140 |
$0.16 |
| 90620 |
|
16 |
16 |
$0.02 |
| 90697 |
|
83 |
80 |
$0.01 |
| 90710 |
|
42 |
40 |
$0.01 |
| 90744 |
|
15 |
15 |
$0.00 |
| 90656 |
|
26 |
25 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 90461 |
|
68 |
65 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |