| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,992 |
2,653 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
974 |
926 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,713 |
1,671 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
552 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
546 |
539 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
407 |
394 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
383 |
383 |
$39K |
| 99173 |
|
990 |
960 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
527 |
487 |
$5K |
| 92551 |
|
707 |
692 |
$4K |
| 36416 |
|
774 |
762 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99050 |
|
65 |
61 |
$791.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
24 |
$492.35 |
| 85018 |
|
772 |
760 |
$31.64 |
| 90685 |
|
183 |
182 |
$0.03 |
| 90696 |
|
27 |
27 |
$0.01 |
| 90723 |
|
305 |
303 |
$0.00 |
| 90686 |
|
555 |
546 |
$0.00 |
| 90647 |
|
338 |
337 |
$0.00 |
| 90680 |
|
42 |
42 |
$0.00 |
| 90734 |
|
105 |
104 |
$0.00 |
| 90670 |
|
403 |
402 |
$0.00 |
| 90710 |
|
97 |
95 |
$0.00 |
| 90633 |
|
154 |
154 |
$0.00 |
| 90649 |
|
172 |
171 |
$0.00 |