| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,346 |
1,238 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
522 |
514 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
230 |
227 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
205 |
204 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
434 |
431 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
629 |
312 |
$7K |
| 99058 |
|
371 |
367 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
510 |
502 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 99188 |
|
169 |
169 |
$2K |
| 83655 |
|
152 |
151 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 85018 |
|
201 |
200 |
$440.10 |
| 92587 |
|
12 |
12 |
$177.88 |
| 90670 |
|
184 |
184 |
$0.00 |
| 90685 |
|
19 |
18 |
$0.00 |
| 90633 |
|
46 |
46 |
$0.00 |
| 90648 |
|
42 |
42 |
$0.00 |
| 90680 |
|
108 |
108 |
$0.00 |
| 90686 |
|
73 |
73 |
$0.00 |
| 90744 |
|
48 |
48 |
$0.00 |
| 90698 |
|
53 |
53 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |