| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,083 |
7,316 |
$535K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,353 |
1,319 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
968 |
929 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,224 |
1,208 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
349 |
340 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,205 |
1,174 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
400 |
388 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
682 |
631 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
69 |
$5K |
| 97802 |
|
3,377 |
3,293 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 99406 |
|
229 |
227 |
$1K |
| 90658 |
|
330 |
322 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
78 |
$706.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$686.13 |
| 99000 |
|
144 |
139 |
$409.17 |
| 90620 |
|
44 |
41 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90651 |
|
50 |
46 |
$0.00 |
| 90734 |
|
27 |
25 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |