| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,224 |
4,588 |
$320K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
492 |
481 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
283 |
281 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,688 |
1,631 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
932 |
903 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
179 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
196 |
191 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
317 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
37 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
245 |
235 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
27 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
14 |
$1K |
| 90670 |
|
174 |
173 |
$176.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$172.44 |
| 90686 |
|
38 |
38 |
$37.10 |
| 90658 |
|
111 |
110 |
$0.00 |
| 90710 |
|
65 |
64 |
$0.00 |
| 90657 |
|
18 |
18 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |