| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,913 |
5,000 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,935 |
1,630 |
$119K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,287 |
3,875 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,463 |
1,391 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
802 |
747 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
682 |
620 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
391 |
376 |
$25K |
| 99050 |
|
1,355 |
1,259 |
$21K |
| 90686 |
|
1,010 |
986 |
$11K |
| 90670 |
|
207 |
193 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
682 |
631 |
$8K |
| 90716 |
|
77 |
71 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
186 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
144 |
$4K |
| 90619 |
|
22 |
12 |
$3K |
| 99460 |
|
33 |
28 |
$2K |
| 90633 |
|
75 |
69 |
$1K |
| 90707 |
|
32 |
27 |
$1K |
| 99383 |
|
13 |
12 |
$685.48 |
| 87807 |
|
58 |
56 |
$666.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
131 |
$254.53 |
| 90685 |
|
83 |
79 |
$80.00 |
| 90680 |
|
41 |
40 |
$40.00 |
| 90461 |
|
1,735 |
1,509 |
$30.00 |
| 90698 |
|
66 |
65 |
$30.00 |
| 90744 |
|
12 |
12 |
$20.00 |