| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,308 |
9,125 |
$665K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,457 |
6,245 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,318 |
2,273 |
$226K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,024 |
1,973 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,761 |
1,723 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,715 |
1,627 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,675 |
1,632 |
$154K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,303 |
2,189 |
$84K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,325 |
2,277 |
$77K |
| 92587 |
|
2,710 |
2,650 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
159 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
737 |
711 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
882 |
845 |
$8K |
| 90461 |
|
218 |
215 |
$7K |
| 99382 |
|
29 |
29 |
$3K |
| 99383 |
|
17 |
17 |
$2K |
| 99384 |
|
14 |
13 |
$2K |
| 90651 |
|
307 |
293 |
$227.94 |
| 90671 |
|
340 |
330 |
$221.58 |
| 90686 |
|
1,538 |
1,508 |
$22.22 |
| 90621 |
|
187 |
185 |
$6.14 |
| 90707 |
|
417 |
412 |
$0.00 |
| 90633 |
|
533 |
526 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90734 |
|
229 |
227 |
$0.00 |
| 90670 |
|
971 |
960 |
$0.00 |
| 90715 |
|
100 |
97 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90744 |
|
374 |
367 |
$0.00 |
| 90680 |
|
613 |
602 |
$0.00 |
| 90716 |
|
433 |
428 |
$0.00 |
| 90698 |
|
870 |
856 |
$0.00 |
| 99000 |
|
1,204 |
1,144 |
$0.00 |
| 90619 |
|
178 |
172 |
$0.00 |
| 90656 |
|
114 |
113 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |