| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,465 |
3,149 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
926 |
916 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
891 |
880 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,676 |
2,187 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
303 |
299 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
125 |
$6K |
| 90461 |
|
1,239 |
1,132 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$5K |
| 99460 |
|
45 |
39 |
$3K |
| 87428 |
|
47 |
35 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
171 |
165 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$319.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$305.80 |
| 87430 |
|
13 |
13 |
$170.11 |
| 90672 |
|
320 |
316 |
$0.41 |
| 90686 |
|
517 |
502 |
$0.01 |
| 90677 |
|
12 |
12 |
$0.01 |
| 90648 |
|
224 |
224 |
$0.00 |
| 90670 |
|
593 |
590 |
$0.00 |
| 90633 |
|
70 |
70 |
$0.00 |
| 90681 |
|
77 |
77 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 97803 |
|
17 |
12 |
$0.00 |
| 90723 |
|
137 |
136 |
$0.00 |
| 90698 |
|
68 |
68 |
$0.00 |