| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,940 |
5,550 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,026 |
1,993 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,696 |
1,611 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,573 |
1,535 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,121 |
1,088 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,147 |
1,097 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,159 |
3,735 |
$21K |
| 90461 |
|
820 |
727 |
$4K |
| 90633 |
|
763 |
748 |
$1K |
| 99381 |
|
13 |
12 |
$951.36 |
| 90670 |
|
1,267 |
1,217 |
$764.87 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
384 |
372 |
$704.79 |
| 90686 |
|
88 |
82 |
$505.94 |
| 90648 |
|
830 |
794 |
$310.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
129 |
$296.72 |
| 90651 |
|
327 |
318 |
$290.00 |
| 90680 |
|
660 |
628 |
$170.00 |
| 90696 |
|
40 |
40 |
$170.00 |
| 90707 |
|
349 |
342 |
$110.00 |
| 90715 |
|
193 |
187 |
$70.00 |
| 85018 |
|
95 |
87 |
$66.62 |
| 90716 |
|
332 |
327 |
$30.00 |
| 90734 |
|
251 |
244 |
$10.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
44 |
$0.00 |
| 90700 |
|
16 |
12 |
$0.00 |
| 90723 |
|
293 |
278 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |