| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,890 |
22,145 |
$867K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,083 |
11,706 |
$449K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,129 |
2,095 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,598 |
1,543 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,238 |
1,150 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
829 |
819 |
$65K |
| 90461 |
|
3,329 |
3,215 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
471 |
448 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
775 |
739 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,382 |
1,327 |
$21K |
| 90688 |
|
3,685 |
3,597 |
$14K |
| 87081 |
|
861 |
834 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
141 |
$2K |
| 90651 |
|
25 |
24 |
$1K |
| 96127 |
|
56 |
53 |
$829.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
47 |
$698.82 |
| 90670 |
|
268 |
261 |
$544.43 |
| 90734 |
|
39 |
39 |
$466.50 |
| 90687 |
|
328 |
318 |
$266.81 |
| 90633 |
|
44 |
41 |
$92.64 |
| 90648 |
|
182 |
175 |
$68.91 |
| 90723 |
|
80 |
80 |
$0.00 |
| 90647 |
|
57 |
57 |
$0.00 |
| 90680 |
|
39 |
39 |
$0.00 |