| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,696 |
1,434 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
637 |
577 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
277 |
257 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
126 |
120 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 99307 |
|
266 |
256 |
$960.66 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$740.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
26 |
$560.53 |
| 90734 |
|
15 |
15 |
$435.55 |
| 90715 |
|
15 |
15 |
$435.55 |
| 90688 |
|
36 |
27 |
$425.43 |
| 99304 |
|
13 |
12 |
$193.20 |