| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,113 |
1,707 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
785 |
712 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,143 |
1,074 |
$30K |
| 92587 |
|
543 |
498 |
$10K |
| 90656 |
|
567 |
531 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
63 |
$4K |
| 97802 |
|
197 |
194 |
$4K |
| 92015 |
Determination of refractive state |
128 |
120 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
116 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$591.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
38 |
$401.64 |
| 99050 |
|
33 |
30 |
$381.26 |
| 90655 |
|
47 |
42 |
$52.59 |
| 99000 |
|
60 |
56 |
$0.00 |
| 90461 |
|
97 |
89 |
$0.00 |