| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,593 |
1,373 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
585 |
541 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
150 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,204 |
1,179 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$5K |
| 90461 |
|
56 |
52 |
$2K |
| 90686 |
|
341 |
336 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
434 |
398 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
33 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |