| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,712 |
8,658 |
$525K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,044 |
2,966 |
$335K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,995 |
2,956 |
$286K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,477 |
2,442 |
$244K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,914 |
1,863 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,018 |
1,914 |
$166K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,921 |
6,668 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,525 |
1,458 |
$55K |
| 90461 |
|
3,171 |
2,949 |
$34K |
| 90670 |
|
1,214 |
1,174 |
$13K |
| 99441 |
|
562 |
464 |
$13K |
| 99188 |
|
2,908 |
2,836 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
78 |
$7K |
| 99381 |
|
67 |
63 |
$6K |
| 90716 |
|
677 |
636 |
$4K |
| 90651 |
|
815 |
798 |
$2K |
| 90715 |
|
568 |
563 |
$2K |
| 90658 |
|
571 |
566 |
$1K |
| 90620 |
|
474 |
468 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
116 |
$923.17 |
| 90657 |
|
97 |
97 |
$434.11 |
| 90633 |
|
684 |
663 |
$402.70 |
| 90672 |
|
61 |
61 |
$323.00 |
| 90680 |
|
559 |
535 |
$300.00 |
| 90707 |
|
522 |
486 |
$299.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
66 |
$268.61 |
| 90734 |
|
430 |
423 |
$146.03 |
| 90700 |
|
541 |
503 |
$63.29 |
| 90698 |
|
237 |
226 |
$41.29 |
| 90744 |
|
126 |
123 |
$24.01 |
| 90649 |
|
14 |
13 |
$20.00 |
| 90648 |
|
345 |
327 |
$13.15 |
| 90713 |
|
163 |
137 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
391 |
345 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
22 |
21 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |