| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,858 |
3,343 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
387 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,539 |
1,496 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
106 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
557 |
533 |
$3K |
| 92551 |
|
266 |
263 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
101 |
$897.99 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$762.86 |
| 81000 |
|
324 |
322 |
$575.34 |
| 90688 |
|
128 |
127 |
$59.13 |
| 90700 |
|
51 |
51 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90713 |
|
36 |
36 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 90647 |
|
16 |
16 |
$0.00 |