| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
695 |
574 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
36 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
147 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
25 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
20 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
28 |
$2K |
| 92552 |
|
83 |
51 |
$983.40 |
| 96160 |
|
49 |
30 |
$572.78 |
| 90734 |
|
22 |
12 |
$450.00 |
| 96127 |
|
118 |
81 |
$426.54 |
| 99173 |
|
75 |
46 |
$324.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$288.70 |
| 3008F |
|
60 |
49 |
$90.00 |
| 85018 |
|
18 |
12 |
$36.61 |