| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,887 |
5,696 |
$275K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,133 |
973 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,087 |
951 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,838 |
3,244 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,810 |
1,533 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
663 |
533 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,057 |
1,761 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
341 |
325 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,168 |
1,808 |
$23K |
| 92587 |
|
1,616 |
1,367 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
305 |
$21K |
| 92567 |
|
1,594 |
1,381 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
569 |
494 |
$6K |
| 83655 |
|
408 |
348 |
$4K |
| 85018 |
|
1,548 |
1,434 |
$3K |
| 81002 |
|
1,190 |
1,108 |
$3K |
| 90620 |
|
153 |
147 |
$2K |
| 99381 |
|
15 |
15 |
$1K |
| 99173 |
|
1,433 |
1,177 |
$883.53 |
| 87807 |
|
44 |
30 |
$384.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$141.40 |
| 90686 |
|
1,843 |
1,446 |
$19.03 |
| 94760 |
|
18 |
12 |
$2.19 |
| 90633 |
|
579 |
525 |
$0.92 |
| 90651 |
|
154 |
152 |
$0.21 |
| 90648 |
|
152 |
140 |
$0.00 |
| 90670 |
|
1,030 |
865 |
$0.00 |
| 90734 |
|
178 |
162 |
$0.00 |
| 90715 |
|
49 |
46 |
$0.00 |
| 90710 |
|
359 |
315 |
$0.00 |
| 90685 |
|
94 |
90 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
981 |
318 |
$0.00 |
| 90680 |
|
524 |
499 |
$0.00 |
| 90698 |
|
494 |
476 |
$0.00 |
| 90723 |
|
179 |
160 |
$0.00 |
| 90696 |
|
58 |
55 |
$0.00 |
| 90744 |
|
145 |
136 |
$0.00 |
| 99000 |
|
18 |
12 |
$0.00 |