| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,011 |
4,589 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
814 |
797 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
482 |
475 |
$31K |
| 73630 |
|
1,099 |
903 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
267 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
828 |
827 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
247 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
200 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
472 |
460 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
132 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
146 |
144 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
282 |
278 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
236 |
$860.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$629.78 |
| 90461 |
|
145 |
145 |
$269.28 |
| 90670 |
|
78 |
75 |
$0.00 |
| 90677 |
|
79 |
79 |
$0.00 |
| 90698 |
|
69 |
69 |
$0.00 |
| 90680 |
|
52 |
52 |
$0.00 |
| 90686 |
|
46 |
46 |
$0.00 |