| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
308 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
134 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
82 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
145 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$201.50 |
| 90723 |
|
16 |
16 |
$0.00 |
| 90680 |
|
33 |
33 |
$0.00 |
| 90670 |
|
58 |
58 |
$0.00 |
| 90648 |
|
35 |
35 |
$0.00 |