| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,514 |
4,009 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,306 |
1,248 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
814 |
813 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
708 |
707 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
952 |
933 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
396 |
394 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,052 |
1,003 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
777 |
762 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
800 |
791 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,471 |
1,442 |
$10K |
| 92551 |
|
742 |
739 |
$5K |
| 81002 |
|
1,672 |
1,642 |
$4K |
| 97803 |
|
852 |
849 |
$3K |
| 99051 |
|
114 |
112 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
117 |
113 |
$644.37 |
| 99000 |
|
811 |
772 |
$575.40 |
| 87081 |
|
56 |
56 |
$256.20 |
| 99173 |
|
840 |
837 |
$8.93 |
| 90670 |
|
639 |
637 |
$0.00 |
| 90734 |
|
47 |
47 |
$0.00 |
| 90648 |
|
114 |
114 |
$0.00 |
| 90461 |
|
392 |
391 |
$0.00 |
| 90633 |
|
162 |
162 |
$0.00 |
| 90681 |
|
31 |
31 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90723 |
|
411 |
410 |
$0.00 |
| 90647 |
|
255 |
253 |
$0.00 |
| 90680 |
|
76 |
76 |
$0.00 |
| 90686 |
|
772 |
771 |
$0.00 |
| 90651 |
|
33 |
33 |
$0.00 |