| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,899 |
11,964 |
$383K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,111 |
5,920 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
862 |
846 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
580 |
555 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
348 |
337 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
758 |
730 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,771 |
1,710 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
81 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,268 |
1,205 |
$6K |
| 87428 |
|
164 |
157 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
190 |
$864.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
108 |
$359.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$230.67 |
| 3074F |
|
814 |
706 |
$175.00 |
| 83655 |
|
25 |
25 |
$163.76 |
| 3008F |
|
5,654 |
4,234 |
$151.50 |
| 90474 |
|
26 |
26 |
$110.00 |
| 1159F |
|
1,400 |
1,244 |
$61.09 |
| 85018 |
|
12 |
12 |
$6.48 |
| 1126F |
|
2,508 |
2,140 |
$0.00 |
| 1125F |
|
127 |
117 |
$0.00 |
| 90680 |
|
70 |
63 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 90698 |
|
43 |
36 |
$0.00 |
| 3079F |
|
224 |
171 |
$0.00 |
| 92551 |
|
72 |
63 |
$0.00 |
| 1160F |
|
1,412 |
1,257 |
$0.00 |
| 90670 |
|
376 |
352 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,103 |
1,631 |
$0.00 |
| 3078F |
|
675 |
551 |
$0.00 |
| 99177 |
|
45 |
39 |
$0.00 |
| 3077F |
|
17 |
17 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |