| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,592 |
2,313 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,798 |
2,510 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
912 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
407 |
391 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
375 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
315 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
267 |
257 |
$20K |
| 90461 |
|
1,369 |
1,171 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
63 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$170.50 |
| 90698 |
|
36 |
26 |
$150.00 |
| 90686 |
|
432 |
344 |
$98.91 |
| 99173 |
|
16 |
13 |
$24.71 |
| 90680 |
|
26 |
24 |
$0.00 |
| 90688 |
|
17 |
15 |
$0.00 |
| 90685 |
|
49 |
40 |
$0.00 |
| 90670 |
|
30 |
28 |
$0.00 |