| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,386 |
9,259 |
$490K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,156 |
5,868 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,368 |
1,364 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,243 |
1,236 |
$98K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,678 |
6,528 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
667 |
620 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
467 |
467 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,814 |
2,756 |
$27K |
| 90686 |
|
1,086 |
1,074 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,086 |
1,045 |
$7K |
| 99173 |
|
1,488 |
1,481 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
122 |
$2K |
| 90619 |
|
54 |
54 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
141 |
$2K |
| 90670 |
|
59 |
58 |
$1K |
| 90671 |
|
37 |
36 |
$621.47 |
| 90698 |
|
109 |
104 |
$596.70 |
| 90715 |
|
39 |
39 |
$486.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$282.25 |
| 96127 |
|
73 |
72 |
$167.90 |
| 90716 |
|
12 |
12 |
$101.56 |
| 90707 |
|
12 |
12 |
$58.73 |
| 90680 |
|
13 |
13 |
$0.00 |