| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,279 |
1,982 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
811 |
789 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
233 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
574 |
558 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$1K |
| 92551 |
|
405 |
405 |
$1K |
| 90686 |
|
34 |
34 |
$378.78 |
| 99173 |
|
294 |
294 |
$262.06 |