| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
569 |
480 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
174 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
42 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 90670 |
|
67 |
65 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
130 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
16 |
$1K |
| 92551 |
|
62 |
61 |
$652.46 |
| 90461 |
|
164 |
158 |
$649.92 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
241 |
221 |
$584.79 |
| 81002 |
|
100 |
94 |
$298.56 |
| 90633 |
|
12 |
12 |
$135.85 |
| 90700 |
|
13 |
12 |
$134.20 |
| 99173 |
|
36 |
36 |
$88.06 |