| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,347 |
904 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
602 |
459 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
247 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
139 |
$1K |
| 90686 |
|
33 |
32 |
$20.00 |
| 4551F |
|
180 |
147 |
$0.00 |