| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,045 |
12,592 |
$503K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,298 |
2,249 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,428 |
1,311 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,637 |
1,578 |
$80K |
| 3008F |
|
5,929 |
5,776 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
945 |
902 |
$42K |
| 90686 |
|
776 |
754 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
67 |
$3K |
| 90670 |
|
663 |
637 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
158 |
$2K |
| 90688 |
|
628 |
608 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
54 |
$2K |
| 90677 |
|
61 |
57 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
77 |
$1K |
| 83655 |
|
118 |
106 |
$1K |
| 90680 |
|
160 |
155 |
$700.26 |
| 90698 |
|
113 |
104 |
$528.29 |
| 36416 |
|
429 |
411 |
$512.53 |
| 90672 |
|
26 |
26 |
$500.47 |
| 90687 |
|
184 |
180 |
$487.06 |
| 90697 |
|
93 |
92 |
$416.43 |
| 90656 |
|
41 |
41 |
$267.00 |
| 80061 |
Lipid panel |
30 |
26 |
$233.57 |
| 85018 |
|
97 |
93 |
$187.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,241 |
1,181 |
$135.70 |
| 90633 |
|
29 |
28 |
$83.90 |
| 82947 |
|
30 |
26 |
$75.54 |
| 90461 |
|
165 |
150 |
$68.88 |
| 91307 |
|
44 |
26 |
$0.06 |
| 99177 |
|
19 |
16 |
$0.00 |