| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
874 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
471 |
437 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
320 |
319 |
$690.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
26 |
$389.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
55 |
$119.28 |
| 90686 |
|
181 |
170 |
$0.00 |
| 99173 |
|
213 |
198 |
$0.00 |