| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,804 |
5,220 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,582 |
1,549 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,537 |
1,511 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,088 |
1,058 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
602 |
595 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
948 |
886 |
$50K |
| 90670 |
|
703 |
687 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,088 |
3,986 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
260 |
$11K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
40 |
15 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,361 |
2,325 |
$5K |
| 90651 |
|
67 |
65 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
206 |
$497.23 |
| 90698 |
|
520 |
507 |
$207.52 |
| 90686 |
|
896 |
884 |
$206.49 |
| 90473 |
|
63 |
63 |
$168.02 |
| 90672 |
|
142 |
142 |
$116.25 |
| 90633 |
|
288 |
283 |
$0.00 |
| 90681 |
|
85 |
83 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90685 |
|
36 |
27 |
$0.00 |
| 90744 |
|
64 |
63 |
$0.00 |
| 90680 |
|
76 |
76 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |