| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,896 |
15,795 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,441 |
4,269 |
$439K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,576 |
4,564 |
$353K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,780 |
3,775 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,671 |
2,649 |
$208K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,548 |
1,511 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,353 |
2,318 |
$100K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,147 |
3,993 |
$73K |
| 92551 |
|
5,186 |
5,151 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
674 |
671 |
$34K |
| 81002 |
|
10,760 |
10,588 |
$30K |
| 99381 |
|
179 |
177 |
$16K |
| 99442 |
|
824 |
801 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
862 |
848 |
$12K |
| 92081 |
|
674 |
666 |
$12K |
| 85018 |
|
4,179 |
4,145 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
705 |
699 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,511 |
1,084 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
296 |
296 |
$7K |
| 86580 |
|
1,058 |
1,053 |
$5K |
| 99383 |
|
26 |
26 |
$2K |
| 97802 |
|
396 |
394 |
$115.44 |
| 90657 |
|
172 |
168 |
$42.14 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
562 |
560 |
$0.07 |
| 90651 |
|
505 |
505 |
$0.00 |
| 90680 |
|
49 |
49 |
$0.00 |
| 90620 |
|
219 |
218 |
$0.00 |
| 90716 |
|
183 |
175 |
$0.00 |
| 90744 |
|
118 |
116 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90619 |
|
88 |
88 |
$0.00 |
| 90656 |
|
800 |
800 |
$0.00 |
| 90698 |
|
161 |
160 |
$0.00 |
| 90697 |
|
44 |
44 |
$0.00 |
| 90713 |
|
105 |
105 |
$0.00 |
| 90700 |
|
214 |
207 |
$0.00 |
| 90633 |
|
242 |
236 |
$0.00 |
| 90670 |
|
264 |
259 |
$0.00 |
| 90681 |
|
28 |
28 |
$0.00 |
| 90734 |
|
177 |
177 |
$0.00 |
| 90707 |
|
177 |
170 |
$0.00 |
| 90715 |
|
140 |
140 |
$0.00 |
| 90710 |
|
30 |
30 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |