| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,334 |
7,308 |
$363K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,332 |
1,310 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,281 |
1,276 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,085 |
1,079 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,446 |
1,425 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
486 |
485 |
$27K |
| 90461 |
|
607 |
606 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
121 |
$2K |
| 90656 |
|
160 |
160 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$922.65 |
| 90672 |
|
29 |
29 |
$686.84 |
| 90473 |
|
12 |
12 |
$115.50 |
| 94760 |
|
159 |
126 |
$43.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
207 |
206 |
$40.00 |
| 90655 |
|
13 |
13 |
$0.00 |