| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,023 |
10,665 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,221 |
4,661 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,543 |
1,473 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,550 |
1,433 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,284 |
1,191 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
595 |
564 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,300 |
2,196 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
515 |
483 |
$29K |
| 92551 |
|
3,106 |
3,001 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
758 |
726 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,128 |
1,079 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
96 |
$7K |
| 99173 |
|
3,466 |
3,329 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
577 |
528 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
60 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
55 |
$3K |
| 90473 |
|
145 |
118 |
$1K |
| 90474 |
|
150 |
133 |
$1K |
| 99401 |
|
60 |
58 |
$836.34 |
| 83026 |
|
125 |
115 |
$185.68 |
| 81002 |
|
96 |
90 |
$182.70 |
| 90686 |
|
179 |
176 |
$114.18 |
| 97802 |
|
15 |
15 |
$57.81 |
| 90685 |
|
46 |
42 |
$0.00 |
| 90633 |
|
389 |
354 |
$0.00 |
| 90734 |
|
104 |
101 |
$0.00 |
| 90670 |
|
348 |
333 |
$0.00 |
| 90672 |
|
147 |
147 |
$0.00 |
| 90710 |
|
65 |
64 |
$0.00 |
| 90649 |
|
75 |
73 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90651 |
|
124 |
121 |
$0.00 |
| 90744 |
|
16 |
12 |
$0.00 |
| 90680 |
|
41 |
41 |
$0.00 |
| 90698 |
|
124 |
120 |
$0.00 |
| 90697 |
|
33 |
33 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90660 |
|
33 |
31 |
$0.00 |