| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,289 |
7,901 |
$387K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,276 |
4,499 |
$350K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,031 |
2,548 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
400 |
354 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
213 |
190 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
164 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
599 |
482 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
112 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
448 |
386 |
$8K |
| 92551 |
|
763 |
656 |
$5K |
| 99000 |
|
1,919 |
1,586 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
238 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
25 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
85 |
60 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
27 |
$1K |
| 99177 |
|
428 |
360 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
30 |
$1K |
| 99174 |
|
214 |
164 |
$848.09 |
| 90686 |
|
1,074 |
902 |
$582.81 |
| 96127 |
|
55 |
37 |
$202.06 |
| 90648 |
|
28 |
24 |
$32.41 |
| 94760 |
|
28 |
27 |
$27.20 |
| 99051 |
|
304 |
276 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |