| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,013 |
2,753 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,611 |
1,491 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
326 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
318 |
292 |
$28K |
| 96127 |
|
2,815 |
2,759 |
$13K |
| 87428 |
|
188 |
186 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
95 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,998 |
1,992 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
457 |
457 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$3K |
| 99443 |
|
30 |
30 |
$3K |
| 99442 |
|
36 |
35 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
41 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
92 |
$950.00 |
| 99441 |
|
25 |
25 |
$871.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
30 |
$681.98 |
| 90686 |
|
884 |
871 |
$400.24 |
| 96160 |
|
435 |
422 |
$220.97 |
| 90685 |
|
73 |
73 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |