| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
681 |
536 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
247 |
231 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
64 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
55 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
47 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
77 |
$2K |
| 99188 |
|
76 |
74 |
$1K |
| 97802 |
|
58 |
52 |
$494.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
19 |
$340.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$129.60 |
| 90686 |
|
25 |
25 |
$77.98 |
| 99000 |
|
67 |
62 |
$0.00 |
| 99072 |
|
79 |
75 |
$0.00 |