| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,819 |
3,580 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,581 |
1,502 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
951 |
951 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,221 |
2,143 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
710 |
705 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
626 |
626 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
411 |
$41K |
| 92551 |
|
1,326 |
1,326 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
577 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
179 |
$3K |
| 99173 |
|
1,037 |
1,037 |
$3K |
| 85018 |
|
327 |
327 |
$701.24 |
| 87807 |
|
16 |
14 |
$186.40 |
| 90670 |
|
327 |
327 |
$0.00 |
| 96160 |
|
161 |
161 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90687 |
|
27 |
27 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90688 |
|
64 |
64 |
$0.00 |
| 90680 |
|
92 |
92 |
$0.00 |
| 90677 |
|
32 |
32 |
$0.00 |
| 90647 |
|
28 |
28 |
$0.00 |