| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,006 |
7,154 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,368 |
1,297 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,068 |
1,031 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
981 |
974 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
556 |
554 |
$45K |
| 92551 |
|
1,220 |
1,207 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
212 |
$17K |
| 90697 |
|
283 |
279 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
641 |
622 |
$8K |
| 90710 |
|
311 |
301 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
260 |
258 |
$5K |
| 90670 |
|
775 |
769 |
$5K |
| 90680 |
|
511 |
507 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
98 |
$3K |
| 90723 |
|
107 |
107 |
$3K |
| 90698 |
|
103 |
102 |
$3K |
| 90686 |
|
410 |
406 |
$2K |
| 99051 |
|
159 |
153 |
$2K |
| 90696 |
|
87 |
81 |
$2K |
| 90633 |
|
374 |
367 |
$2K |
| 90677 |
|
143 |
143 |
$2K |
| 83655 |
|
196 |
194 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
105 |
$2K |
| 90715 |
|
80 |
79 |
$2K |
| 90461 |
|
74 |
74 |
$1K |
| 86769 |
|
27 |
16 |
$1K |
| 99173 |
|
143 |
136 |
$1K |
| 90648 |
|
208 |
208 |
$1K |
| 90734 |
|
128 |
127 |
$875.65 |
| 90651 |
|
116 |
114 |
$754.60 |
| 85018 |
|
391 |
388 |
$727.63 |
| 87400 |
|
26 |
24 |
$542.40 |
| 69209 |
|
41 |
38 |
$448.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$411.29 |
| 81003 |
|
154 |
154 |
$263.48 |
| 90700 |
|
12 |
12 |
$160.50 |
| 90671 |
|
16 |
16 |
$129.12 |