| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
210 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
273 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
62 |
$6K |
| 90461 |
|
108 |
107 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
187 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$476.93 |
| 85018 |
|
55 |
55 |
$142.19 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 90633 |
|
33 |
33 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| 90651 |
|
39 |
39 |
$0.00 |