| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
342 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
50 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$3K |
| 90461 |
|
92 |
92 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
150 |
150 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$2K |
| 81000 |
|
89 |
88 |
$332.88 |
| 85018 |
|
115 |
115 |
$282.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$232.05 |
| 96160 |
|
14 |
14 |
$136.78 |
| 92551 |
|
83 |
83 |
$9.13 |
| 90670 |
|
33 |
33 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |