| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
779 |
702 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
252 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
75 |
$6K |
| 99051 |
|
367 |
334 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
235 |
224 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
208 |
100 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
30 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
315 |
308 |
$1K |
| 92551 |
|
96 |
93 |
$961.41 |
| 99000 |
|
222 |
203 |
$841.58 |
| 90461 |
|
85 |
85 |
$462.38 |
| 90686 |
|
35 |
35 |
$426.37 |
| 90670 |
|
12 |
12 |
$294.60 |
| 90688 |
|
14 |
14 |
$174.59 |
| 96127 |
|
28 |
27 |
$145.65 |
| 99173 |
|
94 |
91 |
$119.05 |
| 85018 |
|
29 |
29 |
$77.78 |
| 36416 |
|
58 |
57 |
$59.07 |