| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
245 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
225 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
178 |
174 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
57 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
145 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$958.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$624.93 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$617.99 |
| 92551 |
|
44 |
44 |
$289.75 |
| 36416 |
|
28 |
28 |
$74.94 |
| 81002 |
|
25 |
25 |
$62.31 |
| 85018 |
|
15 |
15 |
$21.90 |
| 90677 |
|
40 |
39 |
$0.00 |
| 90648 |
|
41 |
40 |
$0.00 |