| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,732 |
6,928 |
$627K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,936 |
2,793 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
667 |
658 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
596 |
578 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
278 |
275 |
$28K |
| 92552 |
|
899 |
895 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
579 |
569 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
127 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
66 |
$453.92 |
| 90461 |
|
94 |
91 |
$446.61 |
| 90686 |
|
222 |
217 |
$250.14 |
| 90688 |
|
26 |
26 |
$117.63 |
| 99173 |
|
76 |
72 |
$56.68 |
| 90687 |
|
18 |
18 |
$54.52 |