| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
354 |
340 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
112 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
124 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 90686 |
|
77 |
77 |
$933.57 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$916.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
27 |
$829.61 |
| 90670 |
|
13 |
13 |
$612.65 |
| 92551 |
|
40 |
40 |
$429.58 |
| 90716 |
|
13 |
13 |
$377.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
106 |
104 |
$333.48 |
| 99173 |
|
34 |
34 |
$85.47 |
| 90461 |
|
31 |
31 |
$52.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$44.73 |