| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,382 |
5,108 |
$254K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,243 |
3,210 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
477 |
477 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
208 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
231 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
36 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| 0071A |
|
45 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
160 |
$1K |
| G9007 |
Coordinated care fee, scheduled team conference |
12 |
12 |
$1K |
| 0002A |
|
29 |
29 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$949.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
209 |
$755.69 |
| 96160 |
|
161 |
161 |
$178.26 |
| 90686 |
|
239 |
239 |
$44.43 |
| 99072 |
|
333 |
313 |
$0.35 |
| 91307 |
|
97 |
85 |
$0.30 |
| 91300 |
|
57 |
51 |
$0.16 |
| 99499 |
|
70 |
70 |
$0.01 |
| 90658 |
|
87 |
87 |
$0.01 |
| 99174 |
|
12 |
12 |
$0.00 |
| 99080 |
|
815 |
812 |
$0.00 |