| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,056 |
1,862 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
444 |
418 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
96 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
52 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
463 |
456 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$141.83 |
| 81002 |
|
111 |
108 |
$138.59 |
| 90686 |
|
67 |
67 |
$24.01 |
| 90698 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90671 |
|
13 |
12 |
$0.00 |