| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,273 |
1,052 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
589 |
382 |
$10K |
| 99051 |
|
298 |
267 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
511 |
451 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
63 |
$974.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$850.89 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$695.15 |
| 81002 |
|
116 |
102 |
$290.37 |
| 90686 |
|
42 |
37 |
$114.00 |