| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,035 |
1,826 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,139 |
1,870 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,619 |
2,457 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
804 |
715 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
267 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
275 |
235 |
$22K |
| 90670 |
|
1,388 |
1,248 |
$17K |
| 90647 |
|
1,131 |
979 |
$14K |
| 90723 |
|
1,095 |
954 |
$13K |
| 90677 |
|
274 |
254 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
274 |
$7K |
| 90633 |
|
435 |
355 |
$5K |
| 90681 |
|
293 |
276 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
171 |
$3K |
| 90686 |
|
283 |
273 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
64 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 90734 |
|
97 |
69 |
$1K |
| 90710 |
|
45 |
38 |
$566.37 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$549.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
41 |
$500.96 |
| 90707 |
|
36 |
25 |
$481.47 |
| 90696 |
|
27 |
25 |
$400.29 |
| 90656 |
|
21 |
16 |
$386.28 |
| 90716 |
|
19 |
12 |
$288.44 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$145.92 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$76.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
39 |
$16.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$16.18 |