| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
401 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
558 |
531 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
40 |
$5K |
| 96127 |
|
116 |
115 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 92551 |
|
205 |
198 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 99173 |
|
81 |
81 |
$608.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$171.75 |
| 90686 |
|
171 |
171 |
$0.00 |