| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,493 |
3,112 |
$239K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,254 |
1,181 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
803 |
783 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
655 |
651 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
442 |
441 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
294 |
289 |
$21K |
| 90698 |
|
317 |
315 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
563 |
544 |
$8K |
| 86328 |
|
178 |
173 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
281 |
275 |
$7K |
| 90686 |
|
760 |
753 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
100 |
$3K |
| 90670 |
|
237 |
234 |
$2K |
| 90677 |
|
146 |
146 |
$1K |
| 90680 |
|
116 |
116 |
$1K |
| 90461 |
|
24 |
24 |
$661.39 |
| 87807 |
|
41 |
39 |
$447.72 |
| 92587 |
|
14 |
14 |
$437.85 |
| 90707 |
|
13 |
13 |
$379.73 |
| 90744 |
|
12 |
12 |
$73.79 |