| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,177 |
3,650 |
$280K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,027 |
1,018 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
781 |
778 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
331 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,087 |
2,040 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
334 |
334 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
698 |
665 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 87070 |
|
526 |
507 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
27 |
$1K |
| 90461 |
|
119 |
119 |
$1K |
| 99173 |
|
345 |
344 |
$923.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
84 |
$699.79 |
| 99072 |
|
141 |
133 |
$120.00 |
| 90686 |
|
111 |
111 |
$41.74 |
| 99177 |
|
13 |
13 |
$17.84 |
| 99000 |
|
12 |
12 |
$0.00 |
| 94760 |
|
29 |
28 |
$0.00 |