| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,360 |
3,440 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,334 |
2,021 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
644 |
561 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
265 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
65 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
65 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
45 |
$2K |
| 90461 |
|
150 |
142 |
$2K |
| 99401 |
|
66 |
53 |
$1K |
| 97802 |
|
77 |
74 |
$70.20 |
| 81002 |
|
558 |
531 |
$18.70 |
| 99173 |
|
286 |
266 |
$0.00 |
| 99000 |
|
134 |
118 |
$0.00 |