| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,034 |
3,340 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,762 |
1,558 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
847 |
793 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
646 |
619 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
652 |
591 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,439 |
2,233 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,366 |
1,259 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
156 |
134 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
462 |
421 |
$6K |
| 99383 |
|
19 |
19 |
$2K |
| 90658 |
|
143 |
130 |
$523.88 |
| 90734 |
|
117 |
111 |
$277.06 |
| 90633 |
|
212 |
192 |
$255.18 |
| 90670 |
|
180 |
170 |
$192.22 |
| 90715 |
|
141 |
132 |
$159.47 |
| 90698 |
|
25 |
24 |
$88.00 |
| 90648 |
|
13 |
12 |
$80.00 |
| 90700 |
|
19 |
17 |
$72.00 |
| 90713 |
|
16 |
13 |
$56.00 |
| 90744 |
|
30 |
25 |
$48.00 |
| 90716 |
|
71 |
69 |
$8.10 |
| 90707 |
|
69 |
67 |
$8.10 |
| 90696 |
|
25 |
25 |
$0.03 |