| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,470 |
3,178 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,404 |
1,302 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,862 |
2,052 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
593 |
579 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
670 |
586 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
194 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
463 |
444 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
90 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
421 |
396 |
$5K |
| 96127 |
|
1,180 |
1,078 |
$4K |
| 0071A |
|
18 |
17 |
$2K |
| 99173 |
|
648 |
620 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
37 |
$935.68 |
| 90686 |
|
627 |
606 |
$66.59 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90685 |
|
20 |
15 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90670 |
|
364 |
352 |
$0.00 |
| 90648 |
|
162 |
157 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90698 |
|
93 |
92 |
$0.00 |
| 91307 |
|
27 |
19 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90744 |
|
15 |
12 |
$0.00 |
| 90723 |
|
53 |
52 |
$0.00 |