| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,066 |
6,465 |
$498K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,239 |
1,188 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
581 |
576 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
531 |
530 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,919 |
2,797 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
394 |
390 |
$31K |
| 96112 |
|
1,701 |
1,693 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
221 |
220 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
737 |
733 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
102 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
581 |
580 |
$4K |
| 92551 |
|
620 |
616 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
778 |
759 |
$2K |
| 96111 |
|
74 |
73 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,136 |
2,100 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
112 |
111 |
$855.04 |
| 90686 |
|
1,518 |
1,510 |
$800.57 |
| 90651 |
|
80 |
75 |
$573.37 |
| 99173 |
|
630 |
628 |
$284.54 |
| 99401 |
|
164 |
160 |
$249.12 |
| 94760 |
|
4,534 |
4,357 |
$66.31 |
| 96160 |
|
14 |
14 |
$28.64 |
| 90670 |
|
145 |
145 |
$0.00 |
| 99072 |
|
114 |
113 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90461 |
|
194 |
193 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90698 |
|
103 |
103 |
$0.00 |
| 99000 |
|
516 |
504 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90680 |
|
91 |
91 |
$0.00 |
| 90677 |
|
135 |
135 |
$0.00 |
| 99402 |
|
60 |
57 |
$0.00 |