| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,268 |
2,072 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
284 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
92 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
189 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
63 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$4K |
| 92551 |
|
396 |
388 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
212 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 90670 |
|
37 |
37 |
$860.69 |
| 81002 |
|
385 |
371 |
$832.10 |
| 90686 |
|
65 |
65 |
$738.85 |
| 99173 |
|
257 |
250 |
$611.34 |
| 90651 |
|
17 |
17 |
$599.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
647 |
639 |
$568.71 |
| 90734 |
|
33 |
32 |
$463.31 |
| 90461 |
|
259 |
252 |
$415.00 |
| 90710 |
|
12 |
12 |
$333.53 |
| 96160 |
|
120 |
116 |
$308.12 |
| 90621 |
|
12 |
12 |
$278.15 |
| 96127 |
|
58 |
56 |
$260.84 |
| 90619 |
|
12 |
12 |
$251.43 |
| 90696 |
|
13 |
13 |
$222.17 |
| 99177 |
|
55 |
55 |
$193.29 |
| 90715 |
|
12 |
12 |
$192.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$67.24 |
| 99072 |
|
13 |
12 |
$0.00 |