| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,679 |
58,958 |
$4.78M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,966 |
9,954 |
$779K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,915 |
7,901 |
$686K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,242 |
8,231 |
$650K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,291 |
5,947 |
$449K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,645 |
10,595 |
$232K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,874 |
20,660 |
$219K |
| 92587 |
|
20,270 |
20,248 |
$200K |
| 99381 |
|
643 |
641 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
542 |
541 |
$50K |
| 86580 |
|
7,905 |
7,869 |
$40K |
| 99499 |
|
509 |
422 |
$35K |
| 99383 |
|
217 |
217 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,219 |
669 |
$14K |
| 99384 |
|
106 |
106 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$6K |
| 99382 |
|
45 |
45 |
$4K |
| 0071A |
|
111 |
111 |
$4K |
| 0002A |
|
109 |
109 |
$4K |
| 0001A |
|
105 |
105 |
$4K |
| 90480 |
|
92 |
91 |
$4K |
| 0072A |
|
99 |
99 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
237 |
234 |
$2K |
| 81002 |
|
762 |
742 |
$1K |
| 97802 |
|
19,978 |
19,959 |
$1K |
| 99172 |
|
11,590 |
11,571 |
$970.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
69 |
$857.01 |
| 17250 |
|
14 |
13 |
$733.91 |
| 96380 |
|
24 |
23 |
$513.56 |
| 90671 |
|
1,115 |
1,111 |
$492.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
44 |
$147.83 |
| 99188 |
|
13 |
13 |
$96.24 |
| 90680 |
|
2,465 |
2,460 |
$0.00 |
| 90647 |
|
750 |
747 |
$0.00 |
| 90651 |
|
3,536 |
3,530 |
$0.00 |
| 90716 |
|
3,192 |
3,188 |
$0.00 |
| 90698 |
|
2,907 |
2,901 |
$0.00 |
| 91307 |
|
186 |
161 |
$0.00 |
| 90620 |
|
1,646 |
1,633 |
$0.00 |
| 90619 |
|
1,314 |
1,310 |
$0.00 |
| 90744 |
|
3,607 |
3,597 |
$0.00 |
| 90696 |
|
1,001 |
1,000 |
$0.00 |
| 90657 |
|
1,230 |
1,225 |
$0.00 |
| 90697 |
|
270 |
269 |
$0.00 |
| 91319 |
|
26 |
26 |
$0.00 |
| 92558 |
|
37 |
37 |
$0.00 |
| 90707 |
|
2,703 |
2,698 |
$0.00 |
| 90700 |
|
1,119 |
1,114 |
$0.00 |
| 90633 |
|
3,158 |
3,154 |
$0.00 |
| 90713 |
|
362 |
359 |
$0.00 |
| 91300 |
|
279 |
259 |
$0.00 |
| 90658 |
|
3,888 |
3,883 |
$0.00 |
| 90715 |
|
1,840 |
1,837 |
$0.00 |
| 90670 |
|
3,022 |
3,018 |
$0.00 |
| 90734 |
|
1,647 |
1,646 |
$0.00 |
| 90681 |
|
100 |
100 |
$0.00 |