| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,400 |
1,140 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
138 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
642 |
543 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
79 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
55 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
99 |
$1K |
| 81000 |
|
201 |
181 |
$513.40 |
| 90686 |
|
226 |
183 |
$19.05 |
| 90734 |
|
15 |
13 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90651 |
|
20 |
20 |
$0.00 |