| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,560 |
1,920 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
805 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
142 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
128 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
401 |
391 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
138 |
$4K |
| 92552 |
|
111 |
111 |
$3K |
| 36410 |
|
196 |
180 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$835.58 |
| 90658 |
|
27 |
27 |
$279.41 |