| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
827 |
762 |
$28K |
| H1000 |
Prenatal care, at-risk assessment |
120 |
101 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
170 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
144 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
167 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
71 |
$5K |
| 92587 |
|
194 |
185 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
31 |
$2K |
| 99381 |
|
14 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
212 |
$918.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
92 |
$888.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$218.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$119.06 |
| 85018 |
|
81 |
79 |
$96.57 |
| 81025 |
|
18 |
18 |
$36.30 |
| 1036F |
|
977 |
912 |
$0.00 |
| 3008F |
|
1,302 |
1,217 |
$0.00 |
| 99174 |
|
93 |
92 |
$0.00 |
| 90656 |
|
15 |
14 |
$0.00 |
| 3074F |
|
1,344 |
1,256 |
$0.00 |
| 36416 |
|
34 |
32 |
$0.00 |
| 99000 |
|
137 |
124 |
$0.00 |
| 3078F |
|
1,307 |
1,222 |
$0.00 |
| 3725F |
|
404 |
394 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |