| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
888 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
128 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
69 |
$7K |
| 90461 |
|
165 |
164 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
241 |
240 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
378 |
358 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 81002 |
|
83 |
75 |
$229.57 |
| 90710 |
|
49 |
49 |
$0.00 |
| 90670 |
|
77 |
77 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 90698 |
|
40 |
40 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90680 |
|
36 |
36 |
$0.00 |