| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,029 |
977 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
431 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
717 |
519 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
90 |
$969.17 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$709.32 |
| 81003 |
|
257 |
257 |
$547.19 |
| 90686 |
|
162 |
161 |
$180.74 |
| 90685 |
|
32 |
32 |
$152.25 |
| 90734 |
|
13 |
13 |
$130.50 |
| 90651 |
|
12 |
12 |
$87.00 |
| 36416 |
|
13 |
13 |
$68.38 |
| 85018 |
|
13 |
13 |
$31.86 |