| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,789 |
2,611 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
916 |
859 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
952 |
864 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,679 |
1,549 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
614 |
582 |
$36K |
| 54160 |
|
191 |
189 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
413 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,403 |
2,228 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,482 |
1,409 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
336 |
$24K |
| 92551 |
|
1,786 |
1,631 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
184 |
179 |
$10K |
| 99460 |
|
165 |
161 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
488 |
460 |
$7K |
| 99462 |
|
200 |
162 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
231 |
$3K |
| 99173 |
|
1,919 |
1,645 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
85 |
$1K |
| 99499 |
|
24 |
24 |
$296.00 |
| 90633 |
|
192 |
173 |
$0.52 |
| 90698 |
|
296 |
282 |
$0.00 |
| 90686 |
|
600 |
488 |
$0.00 |
| 90744 |
|
153 |
144 |
$0.00 |
| 90680 |
|
197 |
175 |
$0.00 |
| 90685 |
|
271 |
230 |
$0.00 |
| 90649 |
|
184 |
142 |
$0.00 |
| 90670 |
|
535 |
488 |
$0.00 |
| 90734 |
|
148 |
99 |
$0.00 |
| 90700 |
|
146 |
117 |
$0.00 |
| 90715 |
|
18 |
13 |
$0.00 |