| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,626 |
2,405 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
988 |
947 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
539 |
508 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
471 |
463 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
408 |
381 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
396 |
383 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,973 |
1,874 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
364 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
181 |
$1K |
| 90685 |
|
74 |
71 |
$19.00 |
| 90670 |
|
280 |
275 |
$0.00 |
| 90633 |
|
132 |
126 |
$0.00 |
| 90715 |
|
60 |
55 |
$0.00 |
| 90621 |
|
302 |
291 |
$0.00 |
| 90734 |
|
107 |
100 |
$0.00 |
| 90707 |
|
38 |
37 |
$0.00 |
| 90744 |
|
56 |
56 |
$0.00 |
| 90651 |
|
145 |
138 |
$0.00 |
| 90680 |
|
68 |
67 |
$0.00 |
| 90686 |
|
724 |
677 |
$0.00 |
| 90698 |
|
294 |
288 |
$0.00 |
| 90716 |
|
37 |
36 |
$0.00 |