| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,070 |
7,799 |
$804K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,627 |
4,517 |
$602K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,016 |
1,001 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
804 |
779 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
419 |
412 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,278 |
2,188 |
$38K |
| 90671 |
|
138 |
135 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$7K |
| 90461 |
|
359 |
354 |
$6K |
| 90670 |
|
91 |
91 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
188 |
171 |
$4K |
| 99415 |
Prolong outpt/office vis |
377 |
345 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
35 |
$2K |
| 97802 |
|
83 |
80 |
$1K |
| 69210 |
|
14 |
12 |
$750.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
245 |
$698.12 |
| 90686 |
|
213 |
211 |
$358.84 |
| 99050 |
|
186 |
178 |
$328.22 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
253 |
212 |
$325.20 |
| 90680 |
|
77 |
75 |
$292.95 |
| 99401 |
|
12 |
12 |
$287.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
27 |
$174.21 |
| 92551 |
|
288 |
257 |
$24.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
28 |
$23.96 |
| 90648 |
|
192 |
188 |
$12.00 |
| 99177 |
|
20 |
13 |
$5.53 |
| 90723 |
|
68 |
68 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
129 |
113 |
$0.00 |
| 99173 |
|
193 |
179 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |