| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,987 |
16,523 |
$1.48M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,143 |
2,140 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,969 |
1,892 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,992 |
1,866 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,855 |
1,855 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,103 |
1,103 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,590 |
4,571 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,740 |
6,385 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
188 |
$21K |
| 96127 |
|
1,613 |
1,608 |
$7K |
| 83655 |
|
388 |
388 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
131 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$4K |
| 81002 |
|
1,671 |
1,638 |
$3K |
| 90670 |
|
1,385 |
1,380 |
$1K |
| 85018 |
|
394 |
394 |
$783.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$320.80 |
| 90734 |
|
263 |
263 |
$255.00 |
| 90723 |
|
703 |
700 |
$250.00 |
| 90686 |
|
996 |
996 |
$237.87 |
| 90648 |
|
950 |
946 |
$125.00 |
| 94664 |
|
12 |
12 |
$109.02 |
| 90716 |
|
154 |
154 |
$96.00 |
| 90633 |
|
461 |
461 |
$72.00 |
| 90671 |
|
69 |
69 |
$45.00 |
| 90707 |
|
160 |
160 |
$40.00 |
| 90715 |
|
88 |
88 |
$32.84 |
| 90461 |
|
13 |
13 |
$23.30 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90680 |
|
975 |
971 |
$0.00 |
| 90651 |
|
171 |
171 |
$0.00 |
| 90697 |
|
67 |
67 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |