| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,953 |
25,060 |
$761K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,732 |
5,481 |
$377K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,454 |
5,239 |
$374K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,857 |
5,524 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,948 |
2,857 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,224 |
3,121 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
930 |
906 |
$64K |
| 90651 |
|
2,321 |
2,217 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,526 |
9,158 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,885 |
4,643 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,018 |
4,813 |
$22K |
| 85018 |
|
3,141 |
2,983 |
$18K |
| 99173 |
|
3,570 |
3,123 |
$16K |
| 90670 |
|
845 |
820 |
$15K |
| 90620 |
|
2,897 |
2,786 |
$12K |
| 90633 |
|
938 |
892 |
$12K |
| 90734 |
|
1,727 |
1,640 |
$10K |
| 90647 |
|
488 |
467 |
$7K |
| 92563 |
|
2,185 |
1,907 |
$6K |
| 90686 |
|
585 |
580 |
$6K |
| 90658 |
|
432 |
415 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,715 |
1,636 |
$4K |
| 99383 |
|
40 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
129 |
$3K |
| 90723 |
|
453 |
446 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 90696 |
|
70 |
70 |
$2K |
| 90710 |
|
376 |
362 |
$1K |
| 90715 |
|
399 |
368 |
$749.93 |
| 90700 |
|
32 |
26 |
$474.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
38 |
$121.50 |
| 81002 |
|
79 |
69 |
$33.57 |
| 90681 |
|
56 |
56 |
$10.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |