| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,148 |
1,081 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
348 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
699 |
664 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
257 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
242 |
218 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
406 |
$16K |
| 99058 |
|
414 |
409 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
458 |
227 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
418 |
414 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$3K |
| 99381 |
|
17 |
16 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 83655 |
|
48 |
47 |
$487.43 |
| 85018 |
|
217 |
201 |
$396.92 |
| 90633 |
|
54 |
46 |
$0.00 |
| 90648 |
|
83 |
78 |
$0.00 |
| 90670 |
|
268 |
257 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90680 |
|
150 |
149 |
$0.00 |
| 90686 |
|
57 |
55 |
$0.00 |
| 90698 |
|
136 |
133 |
$0.00 |
| 90744 |
|
45 |
44 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |