| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,294 |
957 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
166 |
116 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
404 |
274 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
108 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
104 |
$8K |
| 90649 |
|
115 |
81 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
100 |
71 |
$5K |
| 92551 |
|
513 |
373 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
30 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
78 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
926 |
661 |
$2K |
| 90658 |
|
172 |
138 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
423 |
329 |
$1K |
| 85018 |
|
683 |
509 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
338 |
225 |
$1K |
| 90734 |
|
65 |
49 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
86 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
153 |
96 |
$843.37 |
| 99173 |
|
518 |
373 |
$720.54 |
| 90670 |
|
51 |
39 |
$608.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
25 |
$431.37 |
| 90657 |
|
49 |
34 |
$324.33 |
| 83655 |
|
54 |
36 |
$305.09 |
| 99401 |
|
136 |
93 |
$304.56 |
| 90633 |
|
30 |
25 |
$298.81 |
| 90710 |
|
15 |
13 |
$282.55 |
| 90715 |
|
31 |
21 |
$253.48 |
| 36416 |
|
683 |
496 |
$224.54 |
| 90698 |
|
18 |
14 |
$205.05 |