| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
928 |
813 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
740 |
274 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
157 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
113 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
315 |
288 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
74 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
54 |
$4K |
| 92587 |
|
217 |
202 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
102 |
100 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
151 |
$3K |
| 92081 |
|
176 |
165 |
$3K |
| 83655 |
|
169 |
156 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
77 |
$965.71 |
| 85018 |
|
286 |
263 |
$639.86 |
| 81002 |
|
197 |
184 |
$448.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$361.97 |
| 90647 |
|
64 |
64 |
$110.90 |
| 90633 |
|
62 |
57 |
$90.90 |
| 90670 |
|
100 |
95 |
$90.00 |
| 90723 |
|
57 |
55 |
$85.45 |
| 36416 |
|
136 |
128 |
$59.84 |