| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,352 |
5,236 |
$275K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
186 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
643 |
606 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
312 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,731 |
1,489 |
$3K |
| 90686 |
|
113 |
113 |
$1K |
| 81000 |
|
1,330 |
1,307 |
$1K |
| 99173 |
|
819 |
816 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
46 |
$756.03 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$642.94 |