| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,434 |
5,499 |
$341K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,186 |
1,160 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,211 |
1,179 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,095 |
1,076 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,229 |
2,812 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
976 |
862 |
$74K |
| 92550 |
|
3,136 |
3,022 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,210 |
3,043 |
$11K |
| 92081 |
|
2,776 |
2,611 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,054 |
1,944 |
$7K |
| 90670 |
|
676 |
607 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
99 |
$3K |
| 99215 |
Prolong outpt/office vis |
36 |
31 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
625 |
579 |
$2K |
| 90651 |
|
266 |
258 |
$1K |
| 90686 |
|
166 |
134 |
$823.00 |
| 90734 |
|
106 |
101 |
$260.08 |
| 90658 |
|
111 |
108 |
$245.37 |
| 99441 |
|
12 |
12 |
$117.75 |
| 90633 |
|
182 |
172 |
$66.00 |
| 90707 |
|
66 |
66 |
$60.00 |
| 90647 |
|
162 |
162 |
$40.00 |
| 90716 |
|
67 |
66 |
$30.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
218 |
207 |
$19.90 |
| 90657 |
|
13 |
13 |
$18.00 |
| 90656 |
|
27 |
23 |
$16.33 |
| 90698 |
|
12 |
12 |
$10.00 |
| 81005 |
|
74 |
74 |
$1.62 |
| 90715 |
|
15 |
13 |
$0.00 |
| 90681 |
|
121 |
95 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 90619 |
|
30 |
28 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |