| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
324 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
85 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
191 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
76 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
64 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
135 |
132 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
251 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
35 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 92551 |
|
206 |
201 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
81 |
$955.55 |
| 99173 |
|
231 |
225 |
$435.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$367.64 |
| 90474 |
|
14 |
14 |
$127.82 |
| 85018 |
|
53 |
50 |
$118.00 |
| S8096 |
Portable peak flow meter |
73 |
66 |
$65.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$52.03 |
| 36416 |
|
53 |
52 |
$7.59 |
| 94760 |
|
61 |
61 |
$4.02 |
| 99000 |
|
52 |
43 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 90686 |
|
81 |
79 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
30 |
27 |
$0.00 |
| 90700 |
|
87 |
86 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90670 |
|
46 |
45 |
$0.00 |
| 90713 |
|
71 |
71 |
$0.00 |
| 90633 |
|
45 |
43 |
$0.00 |
| 90648 |
|
47 |
46 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |