| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,173 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
826 |
818 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
110 |
$9K |
| 90461 |
|
275 |
273 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
145 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
89 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 85018 |
|
741 |
738 |
$2K |
| 96127 |
|
107 |
107 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$386.29 |
| 96160 |
|
12 |
12 |
$97.68 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
422 |
422 |
$24.20 |
| 90686 |
|
253 |
253 |
$0.03 |
| 90688 |
|
35 |
35 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |