| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,824 |
44,607 |
$2.90M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,691 |
7,474 |
$526K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,685 |
5,595 |
$392K |
| 90670 |
|
6,035 |
5,888 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,784 |
1,720 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,393 |
2,001 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,005 |
1,943 |
$130K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,512 |
6,017 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,769 |
1,704 |
$111K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,129 |
7,825 |
$95K |
| 90723 |
|
4,022 |
3,920 |
$89K |
| 90680 |
|
3,532 |
3,446 |
$76K |
| 90647 |
|
3,631 |
3,548 |
$72K |
| 90686 |
|
3,678 |
3,604 |
$70K |
| 90461 |
|
3,363 |
1,332 |
$53K |
| 99173 |
|
7,778 |
7,507 |
$34K |
| 92551 |
|
6,076 |
5,843 |
$26K |
| 90716 |
|
456 |
448 |
$25K |
| 90633 |
|
1,076 |
1,057 |
$23K |
| 90707 |
|
665 |
649 |
$22K |
| 90734 |
|
238 |
230 |
$12K |
| 90651 |
|
180 |
176 |
$12K |
| 87807 |
|
1,026 |
994 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
294 |
$8K |
| 90685 |
|
378 |
375 |
$7K |
| 99000 |
|
2,528 |
2,467 |
$7K |
| 83655 |
|
254 |
253 |
$4K |
| 90715 |
|
112 |
109 |
$2K |
| 90696 |
|
29 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$492.00 |
| 0072A |
|
12 |
12 |
$400.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
42 |
$363.00 |
| 99001 |
|
99 |
99 |
$336.00 |
| 90700 |
|
12 |
12 |
$289.41 |
| 36416 |
|
120 |
116 |
$272.50 |
| 81002 |
|
79 |
79 |
$224.61 |
| 81000 |
|
14 |
13 |
$45.22 |
| 85014 |
|
38 |
38 |
$3.00 |