| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,006 |
9,359 |
$400K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,810 |
2,794 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,471 |
2,453 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,936 |
5,879 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,952 |
1,942 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,686 |
1,673 |
$104K |
| 90461 |
|
2,232 |
2,216 |
$40K |
| 90619 |
|
269 |
255 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,184 |
1,160 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
804 |
793 |
$15K |
| 90677 |
|
108 |
105 |
$14K |
| 90697 |
|
181 |
170 |
$11K |
| 99383 |
|
136 |
136 |
$9K |
| 90473 |
|
716 |
712 |
$9K |
| 90671 |
|
63 |
61 |
$8K |
| 99173 |
|
3,630 |
3,608 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
104 |
$7K |
| 90651 |
|
326 |
316 |
$7K |
| 99381 |
|
95 |
95 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
299 |
286 |
$5K |
| 90670 |
|
639 |
620 |
$3K |
| 90672 |
|
672 |
661 |
$3K |
| 99384 |
|
41 |
41 |
$3K |
| 90686 |
|
860 |
844 |
$2K |
| 99382 |
|
33 |
33 |
$2K |
| 3008F |
|
2,074 |
1,969 |
$2K |
| 90734 |
|
88 |
83 |
$2K |
| 90674 |
|
62 |
60 |
$1K |
| 90620 |
|
60 |
56 |
$1K |
| 90633 |
|
465 |
446 |
$1K |
| 90723 |
|
103 |
103 |
$722.10 |
| 90715 |
|
121 |
114 |
$666.36 |
| 86580 |
|
153 |
153 |
$621.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
101 |
$546.18 |
| 90688 |
|
75 |
75 |
$476.85 |
| 83655 |
|
204 |
178 |
$464.79 |
| 90710 |
|
183 |
176 |
$451.87 |
| 99421 |
|
51 |
51 |
$356.39 |
| 90696 |
|
28 |
27 |
$125.79 |
| 90716 |
|
28 |
28 |
$107.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$101.26 |
| 90685 |
|
138 |
128 |
$69.78 |
| 90648 |
|
170 |
164 |
$64.01 |
| 90707 |
|
30 |
30 |
$60.45 |
| 90700 |
|
15 |
14 |
$21.45 |
| 90680 |
|
291 |
288 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |