| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
521 |
489 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
249 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
434 |
417 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
50 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62 |
62 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
218 |
$3K |
| 90686 |
|
80 |
80 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
78 |
$2K |
| 99173 |
|
202 |
198 |
$980.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$910.00 |
| 90670 |
|
27 |
27 |
$534.33 |
| 87807 |
|
49 |
49 |
$462.00 |
| 90633 |
|
12 |
12 |
$237.48 |
| 92551 |
|
56 |
55 |
$235.00 |