| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,757 |
8,152 |
$492K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,505 |
3,022 |
$263K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,676 |
1,543 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,564 |
1,307 |
$119K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,872 |
2,555 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,188 |
4,601 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
749 |
683 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
306 |
293 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
240 |
219 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
13 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
70 |
$3K |
| 87428 |
|
36 |
29 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
42 |
$1K |
| 92551 |
|
179 |
173 |
$701.93 |
| 90651 |
|
34 |
33 |
$531.06 |
| 90670 |
|
728 |
636 |
$348.82 |
| 90734 |
|
32 |
26 |
$307.50 |
| 83655 |
|
26 |
26 |
$297.89 |
| 90686 |
|
1,532 |
1,352 |
$261.61 |
| 85018 |
|
56 |
52 |
$113.70 |
| 99173 |
|
78 |
78 |
$93.21 |
| 90648 |
|
656 |
578 |
$33.74 |
| 90723 |
|
235 |
198 |
$0.21 |
| 90680 |
|
139 |
112 |
$0.09 |
| 90633 |
|
31 |
27 |
$0.00 |