| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,952 |
3,592 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
950 |
906 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
732 |
716 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
599 |
560 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
111 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
75 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,309 |
2,184 |
$20.50 |
| 99173 |
|
533 |
489 |
$0.00 |
| 90461 |
|
1,350 |
1,246 |
$0.00 |
| 90670 |
|
718 |
677 |
$0.00 |
| 81003 |
|
692 |
638 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
845 |
797 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
552 |
532 |
$0.00 |
| 83655 |
|
150 |
149 |
$0.00 |
| 90700 |
|
46 |
43 |
$0.00 |
| 90633 |
|
187 |
182 |
$0.00 |
| 90707 |
|
59 |
54 |
$0.00 |
| 90681 |
|
28 |
27 |
$0.00 |
| 85018 |
|
1,664 |
1,578 |
$0.00 |
| 90698 |
|
349 |
344 |
$0.00 |
| 97802 |
|
638 |
592 |
$0.00 |
| 90744 |
|
104 |
98 |
$0.00 |
| 92587 |
|
545 |
502 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 90716 |
|
43 |
41 |
$0.00 |
| 90686 |
|
223 |
218 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |