| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,835 |
1,651 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
381 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
788 |
771 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
356 |
346 |
$6K |
| W0037 |
|
704 |
704 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$979.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$501.76 |
| 90461 |
|
14 |
14 |
$0.00 |