| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
437 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
165 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
148 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
133 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
88 |
$7K |
| 90686 |
|
202 |
200 |
$2K |
| 92551 |
|
130 |
130 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90670 |
|
38 |
37 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
449 |
441 |
$690.83 |
| 99173 |
|
259 |
258 |
$588.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$550.13 |
| 90648 |
|
40 |
39 |
$449.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
245 |
237 |
$365.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$327.75 |
| 99188 |
|
16 |
16 |
$278.59 |
| 90723 |
|
13 |
12 |
$132.00 |
| 90680 |
|
13 |
12 |
$132.00 |
| 85018 |
|
42 |
41 |
$115.42 |
| 36416 |
|
78 |
75 |
$35.02 |
| 87081 |
|
13 |
13 |
$30.64 |
| 99051 |
|
104 |
103 |
$27.45 |