| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,045 |
3,797 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,001 |
3,799 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,581 |
3,493 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
750 |
735 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
755 |
744 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
414 |
409 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
221 |
$17K |
| 85018 |
|
2,736 |
2,700 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
857 |
808 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
311 |
286 |
$1K |
| 99442 |
|
21 |
15 |
$369.75 |
| 96127 |
|
1,526 |
1,448 |
$35.00 |
| 90686 |
|
16 |
16 |
$0.00 |