| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,181 |
1,948 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
545 |
532 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
626 |
597 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
410 |
407 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
310 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,055 |
1,032 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
151 |
$12K |
| 87428 |
|
264 |
257 |
$6K |
| 90670 |
|
370 |
366 |
$3K |
| 90461 |
|
695 |
625 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
306 |
293 |
$1K |
| 99384 |
|
14 |
12 |
$1K |
| 90686 |
|
59 |
59 |
$546.22 |
| 85018 |
|
555 |
541 |
$533.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
33 |
$498.42 |
| 90698 |
|
237 |
234 |
$177.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$147.00 |
| 90744 |
|
104 |
102 |
$31.00 |
| 81003 |
|
139 |
130 |
$8.48 |
| 99173 |
|
450 |
440 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90680 |
|
189 |
188 |
$0.00 |
| 36416 |
|
389 |
388 |
$0.00 |
| 92551 |
|
508 |
496 |
$0.00 |
| 90697 |
|
70 |
60 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90651 |
|
18 |
14 |
$0.00 |