| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,930 |
5,981 |
$299K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,338 |
2,139 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,881 |
3,713 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
657 |
645 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
597 |
$30K |
| 92552 |
|
2,437 |
2,385 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
432 |
427 |
$22K |
| 90461 |
|
709 |
689 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
114 |
$8K |
| 90686 |
|
489 |
478 |
$4K |
| 90672 |
|
337 |
331 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
149 |
$2K |
| 99173 |
|
1,529 |
1,473 |
$1K |
| 90660 |
|
85 |
85 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
13 |
$619.87 |
| 90734 |
|
13 |
12 |
$458.25 |
| 87070 |
|
42 |
42 |
$339.09 |
| 90698 |
|
31 |
27 |
$333.90 |
| 90670 |
|
14 |
12 |
$275.81 |
| 90633 |
|
13 |
13 |
$76.02 |