| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,692 |
4,341 |
$437K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,161 |
3,849 |
$267K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,732 |
3,697 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
948 |
948 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
813 |
770 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
506 |
506 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
134 |
$13K |
| 0071A |
|
44 |
44 |
$2K |
| 0072A |
|
32 |
32 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
220 |
$1K |
| 90686 |
|
176 |
176 |
$0.01 |
| 91307 |
|
31 |
31 |
$0.00 |