| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
689 |
613 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
85 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
88 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
150 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$410.88 |
| 99173 |
|
103 |
103 |
$175.21 |
| 96127 |
|
29 |
29 |
$137.89 |
| 90686 |
|
77 |
77 |
$130.99 |