| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
243 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
156 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
81 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$9K |
| 97802 |
|
210 |
210 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
48 |
$5K |
| 90461 |
|
97 |
97 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
175 |
174 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$438.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
20 |
$432.20 |
| 96127 |
|
50 |
50 |
$348.75 |
| 90656 |
|
42 |
42 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90649 |
|
34 |
34 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |