| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
747 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
675 |
636 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
354 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
217 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
150 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
48 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
54 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
172 |
$1K |
| 81002 |
|
453 |
421 |
$788.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$270.40 |
| 85018 |
|
48 |
48 |
$104.13 |
| 90698 |
|
61 |
60 |
$0.00 |
| 90686 |
|
86 |
84 |
$0.00 |
| 90744 |
|
26 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
149 |
146 |
$0.00 |