| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,341 |
7,641 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,671 |
3,502 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,992 |
1,973 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,564 |
1,519 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,578 |
1,476 |
$129K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,053 |
1,047 |
$89K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,833 |
4,701 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,956 |
2,882 |
$16K |
| 99383 |
|
82 |
79 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
727 |
700 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$2K |
| H0049 |
Alcohol and/or drug screening |
111 |
106 |
$2K |
| 99381 |
|
30 |
26 |
$2K |
| 99382 |
|
12 |
12 |
$2K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
85 |
83 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 90671 |
|
138 |
136 |
$1K |
| 90686 |
|
186 |
182 |
$530.00 |
| 90700 |
|
145 |
144 |
$290.00 |
| 90651 |
|
199 |
192 |
$190.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
151 |
$139.02 |
| 90698 |
|
270 |
258 |
$90.00 |
| 90707 |
|
130 |
128 |
$80.00 |
| 90715 |
|
79 |
75 |
$80.00 |
| 90633 |
|
130 |
128 |
$60.00 |
| 90713 |
|
40 |
39 |
$30.00 |
| 90744 |
|
168 |
158 |
$20.00 |
| 90670 |
|
440 |
420 |
$20.00 |
| 90716 |
|
119 |
117 |
$10.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
486 |
466 |
$0.00 |
| 90619 |
|
36 |
34 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90734 |
|
107 |
99 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |