| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
364 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
414 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
342 |
326 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
165 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 86580 |
|
45 |
45 |
$383.33 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$241.50 |
| 92555 |
|
13 |
13 |
$73.06 |
| 99173 |
|
17 |
17 |
$56.20 |