| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
987 |
865 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
402 |
389 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
71 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$899.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
118 |
$866.08 |
| 90686 |
|
36 |
36 |
$382.95 |
| 99173 |
|
194 |
194 |
$281.82 |
| 81000 |
|
73 |
70 |
$153.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
127 |
$92.05 |
| 81002 |
|
32 |
32 |
$42.00 |
| 90461 |
|
16 |
15 |
$19.40 |