| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,864 |
8,141 |
$484K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,067 |
1,051 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
933 |
925 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
723 |
710 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,835 |
4,167 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
580 |
558 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
727 |
711 |
$47K |
| 90461 |
|
1,671 |
1,399 |
$25K |
| 90677 |
|
51 |
43 |
$1K |
| 90670 |
|
438 |
386 |
$759.08 |
| 90686 |
|
2,554 |
2,478 |
$589.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
334 |
202 |
$317.76 |
| 90656 |
|
32 |
32 |
$150.00 |
| 90734 |
|
57 |
56 |
$15.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
81 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 99051 |
|
16 |
16 |
$0.00 |
| 90633 |
|
46 |
42 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 90651 |
|
211 |
204 |
$0.00 |
| 90697 |
|
25 |
17 |
$0.00 |