| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,168 |
1,978 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,107 |
841 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
882 |
873 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
646 |
638 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
698 |
625 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
278 |
278 |
$22K |
| 90670 |
|
647 |
640 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
119 |
$9K |
| 90686 |
|
820 |
814 |
$9K |
| 90698 |
|
426 |
420 |
$6K |
| 90680 |
|
260 |
256 |
$5K |
| 90707 |
|
213 |
213 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
206 |
206 |
$3K |
| 90716 |
|
155 |
153 |
$2K |
| 90633 |
|
160 |
157 |
$2K |
| 90744 |
|
123 |
122 |
$1K |
| 90651 |
|
63 |
63 |
$1K |
| 90734 |
|
60 |
60 |
$973.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
24 |
$698.40 |
| 90672 |
|
77 |
75 |
$652.14 |
| 99173 |
|
242 |
238 |
$501.54 |
| 90696 |
|
15 |
15 |
$178.64 |
| 90700 |
|
13 |
13 |
$157.40 |
| 90715 |
|
12 |
12 |
$154.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
39 |
$57.60 |
| 90473 |
|
22 |
20 |
$1.80 |