| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,558 |
6,183 |
$218K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
753 |
501 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
190 |
$10K |
| 90688 |
|
745 |
734 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
330 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
45 |
37 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
162 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
52 |
$1K |
| 90756 |
|
69 |
69 |
$1K |
| 96127 |
|
122 |
120 |
$348.28 |
| 99000 |
|
195 |
191 |
$0.00 |