| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
622 |
559 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
120 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
93 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
87 |
$4K |
| 90461 |
|
114 |
114 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
183 |
183 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
108 |
$1K |
| 94664 |
|
13 |
12 |
$144.43 |
| 90651 |
|
43 |
43 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90670 |
|
31 |
31 |
$0.00 |
| 90734 |
|
34 |
34 |
$0.00 |