| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,556 |
4,098 |
$264K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
456 |
416 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
372 |
367 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
245 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
135 |
$11K |
| 92551 |
|
1,028 |
1,002 |
$10K |
| 90670 |
|
269 |
263 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
244 |
233 |
$5K |
| 90686 |
|
410 |
409 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$3K |
| 90651 |
|
83 |
83 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,812 |
1,738 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
157 |
$2K |
| 99173 |
|
736 |
719 |
$2K |
| 90698 |
|
97 |
95 |
$2K |
| 81002 |
|
869 |
834 |
$1K |
| 96127 |
|
251 |
250 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
177 |
166 |
$1K |
| 90734 |
|
23 |
23 |
$822.91 |
| 99177 |
|
207 |
203 |
$777.02 |
| 90461 |
|
816 |
800 |
$665.50 |
| 90680 |
|
54 |
51 |
$638.98 |
| 90633 |
|
44 |
44 |
$490.60 |
| 90619 |
|
17 |
17 |
$447.86 |
| 96160 |
|
185 |
185 |
$422.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$409.84 |
| 90677 |
|
27 |
27 |
$286.00 |
| 90715 |
|
17 |
17 |
$255.92 |
| 90685 |
|
13 |
13 |
$148.77 |
| 90621 |
|
12 |
12 |
$132.00 |
| 94760 |
|
211 |
191 |
$131.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
118 |
$57.80 |
| 97802 |
|
13 |
13 |
$30.00 |
| 90473 |
|
15 |
14 |
$0.00 |