| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,902 |
16,602 |
$1.56M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,360 |
4,358 |
$449K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,335 |
3,334 |
$343K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,287 |
5,967 |
$318K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,109 |
3,105 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,773 |
1,700 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,005 |
1,004 |
$111K |
| 92587 |
|
2,995 |
2,988 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,765 |
5,756 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,343 |
2,325 |
$52K |
| 87430 |
|
6,136 |
5,887 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
896 |
866 |
$17K |
| 83655 |
|
1,459 |
1,457 |
$16K |
| 90660 |
|
870 |
868 |
$14K |
| 85018 |
|
3,247 |
3,244 |
$6K |
| 99383 |
|
32 |
32 |
$3K |
| 99381 |
|
28 |
28 |
$3K |
| 99382 |
|
19 |
19 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 69210 |
|
12 |
12 |
$453.40 |
| 90672 |
|
741 |
741 |
$315.03 |
| 90686 |
|
351 |
351 |
$201.25 |
| 90734 |
|
676 |
676 |
$178.03 |
| 90715 |
|
338 |
338 |
$50.00 |
| 81002 |
|
12 |
12 |
$20.26 |
| 90461 |
|
3,118 |
3,117 |
$0.00 |
| 90700 |
|
271 |
271 |
$0.00 |
| 90670 |
|
1,929 |
1,927 |
$0.00 |
| 90633 |
|
253 |
253 |
$0.00 |
| 90707 |
|
532 |
532 |
$0.00 |
| 90681 |
|
92 |
92 |
$0.00 |
| 90710 |
|
204 |
204 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90696 |
|
352 |
352 |
$0.00 |
| 90723 |
|
1,562 |
1,561 |
$0.00 |
| 90716 |
|
328 |
328 |
$0.00 |
| 90647 |
|
1,237 |
1,235 |
$0.00 |
| 90697 |
|
479 |
479 |
$0.00 |
| 90677 |
|
411 |
411 |
$0.00 |