| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,331 |
1,994 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
337 |
330 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
336 |
327 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
894 |
852 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
289 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
252 |
241 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
47 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$200.54 |
| 90670 |
|
159 |
144 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90686 |
|
63 |
61 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |