| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
346 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
20 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
340 |
151 |
$819.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$692.59 |
| 90686 |
|
52 |
51 |
$626.36 |
| 92551 |
|
35 |
35 |
$365.44 |
| 90461 |
|
45 |
36 |
$294.00 |
| 99173 |
|
14 |
14 |
$32.83 |
| 36416 |
|
13 |
13 |
$6.60 |
| 99051 |
|
13 |
12 |
$0.00 |