| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
994 |
884 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
889 |
810 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
141 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
86 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
536 |
534 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$6K |
| 97802 |
|
346 |
346 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
276 |
$454.84 |
| 85018 |
|
660 |
655 |
$375.61 |
| 90461 |
|
125 |
125 |
$276.05 |
| 81002 |
|
331 |
322 |
$241.59 |
| 36416 |
|
13 |
13 |
$0.00 |
| 96127 |
|
28 |
28 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$0.00 |