| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,110 |
5,465 |
$217K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,356 |
1,295 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,133 |
1,095 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,733 |
1,631 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
549 |
518 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,078 |
2,947 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,303 |
1,274 |
$19K |
| S8301 |
Infection control supplies, not otherwise specified |
357 |
329 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
123 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
624 |
308 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
516 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
534 |
406 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
55 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
535 |
519 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
68 |
$2K |
| 87428 |
|
56 |
53 |
$2K |
| 90686 |
|
1,080 |
1,055 |
$301.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
16 |
$266.56 |
| 90651 |
|
896 |
866 |
$256.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$172.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$73.44 |
| 90715 |
|
144 |
139 |
$35.65 |
| 90670 |
|
214 |
190 |
$0.01 |
| 90734 |
|
305 |
294 |
$0.00 |
| 90671 |
|
38 |
38 |
$0.00 |
| 90633 |
|
45 |
40 |
$0.00 |
| 90648 |
|
49 |
41 |
$0.00 |
| 90658 |
|
52 |
50 |
$0.00 |