| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,513 |
3,272 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,951 |
1,776 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,100 |
1,081 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,072 |
973 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
331 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,407 |
1,376 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,497 |
2,430 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
75 |
$7K |
| 83655 |
|
267 |
260 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
94 |
$3K |
| 85018 |
|
453 |
445 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$695.16 |
| 90473 |
|
62 |
56 |
$484.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
14 |
$483.03 |
| 90670 |
|
703 |
685 |
$414.47 |
| 36416 |
|
147 |
144 |
$177.60 |
| 96160 |
|
113 |
110 |
$155.76 |
| 90686 |
|
1,234 |
1,207 |
$97.85 |
| 92551 |
|
106 |
103 |
$42.07 |
| 90648 |
|
641 |
629 |
$0.03 |
| 90723 |
|
348 |
347 |
$0.02 |
| 90651 |
|
12 |
12 |
$0.01 |
| 90633 |
|
123 |
120 |
$0.01 |
| 90716 |
|
68 |
67 |
$0.00 |
| 2000F |
|
225 |
224 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90707 |
|
79 |
78 |
$0.00 |
| 99173 |
|
116 |
114 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90681 |
|
77 |
74 |
$0.00 |