| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,779 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
610 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,113 |
1,046 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$7K |
| 97802 |
|
1,474 |
1,376 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$2K |
| 90686 |
|
238 |
226 |
$21.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
51 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |