| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
71 |
$1K |
| 92551 |
|
59 |
59 |
$203.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
980 |
847 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
300 |
$0.00 |
| 90698 |
|
25 |
24 |
$0.00 |
| 90686 |
|
91 |
91 |
$0.00 |
| 3008F |
|
68 |
68 |
$0.00 |
| 96127 |
|
32 |
32 |
$0.00 |
| 99051 |
|
97 |
94 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
369 |
365 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
69 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
78 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
27 |
$0.00 |
| 99173 |
|
75 |
75 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |