| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
712 |
688 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
212 |
$22K |
| 99051 |
|
881 |
847 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
34 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$936.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
73 |
$335.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$78.54 |