| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,140 |
3,727 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
822 |
822 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
680 |
679 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
643 |
643 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,371 |
1,305 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,058 |
1,058 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
345 |
344 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,866 |
1,860 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
276 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
413 |
$6K |
| 90474 |
|
477 |
477 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
544 |
513 |
$4K |
| 99381 |
|
30 |
30 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$192.24 |
| 96160 |
|
388 |
385 |
$0.00 |