| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,399 |
2,238 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,283 |
1,183 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
555 |
533 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
461 |
431 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
50 |
$561.05 |
| 99051 |
|
64 |
62 |
$436.80 |
| 90686 |
|
518 |
487 |
$133.21 |
| 85018 |
|
16 |
15 |
$4.52 |
| 90685 |
|
39 |
39 |
$0.00 |