| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,584 |
6,655 |
$445K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,107 |
2,014 |
$204K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,656 |
1,651 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,792 |
1,787 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
908 |
902 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
994 |
969 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,598 |
1,530 |
$26K |
| 92551 |
|
2,580 |
2,563 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
262 |
253 |
$15K |
| 92081 |
|
646 |
645 |
$12K |
| 81002 |
|
4,570 |
4,503 |
$12K |
| 99442 |
|
452 |
436 |
$7K |
| 85018 |
|
1,719 |
1,708 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
59 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
551 |
417 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
71 |
$944.04 |
| 86580 |
|
182 |
182 |
$846.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
85 |
$229.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$154.00 |
| 90657 |
|
26 |
26 |
$12.04 |
| 90656 |
|
270 |
253 |
$0.00 |
| 90651 |
|
172 |
172 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90715 |
|
54 |
54 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90734 |
|
79 |
78 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |