| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
487 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
104 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
307 |
282 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
71 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
118 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$842.40 |
| 92551 |
|
72 |
70 |
$674.52 |
| 90686 |
|
85 |
83 |
$0.06 |
| 99173 |
|
74 |
71 |
$0.00 |