| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
702 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
617 |
597 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
277 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
280 |
237 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
101 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
55 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$2K |
| 92551 |
|
149 |
146 |
$515.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$364.16 |
| 96160 |
|
37 |
37 |
$120.12 |
| 96161 |
|
43 |
40 |
$104.03 |
| 99173 |
|
152 |
145 |
$102.54 |
| 94760 |
|
96 |
86 |
$6.32 |
| 90686 |
|
83 |
73 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90648 |
|
19 |
17 |
$0.00 |
| 90713 |
|
55 |
42 |
$0.00 |
| 90700 |
|
73 |
56 |
$0.00 |
| 90670 |
|
45 |
32 |
$0.00 |