| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,793 |
5,132 |
$291K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,479 |
1,465 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,052 |
1,032 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
609 |
605 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,507 |
3,304 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
261 |
$25K |
| 90670 |
|
761 |
747 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
306 |
$11K |
| 99383 |
|
125 |
122 |
$9K |
| 99382 |
|
45 |
45 |
$4K |
| 90677 |
|
48 |
48 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 90686 |
|
552 |
544 |
$884.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
127 |
$603.94 |
| 92551 |
|
1,713 |
1,473 |
$439.15 |
| 99173 |
|
1,700 |
1,466 |
$425.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
102 |
$402.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
168 |
$386.00 |
| 90633 |
|
496 |
488 |
$332.05 |
| 90723 |
|
404 |
399 |
$182.00 |
| 90648 |
|
853 |
837 |
$168.02 |
| 90651 |
|
115 |
112 |
$167.71 |
| 81000 |
|
131 |
130 |
$117.91 |
| 90696 |
|
12 |
12 |
$115.57 |
| 90461 |
|
63 |
55 |
$108.02 |
| 85018 |
|
170 |
166 |
$91.02 |
| 85014 |
|
137 |
133 |
$54.10 |
| 90734 |
|
41 |
41 |
$48.02 |
| 90710 |
|
12 |
12 |
$40.00 |
| 99188 |
|
62 |
60 |
$20.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
106 |
104 |
$20.00 |
| 90681 |
|
56 |
55 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90716 |
|
59 |
58 |
$0.00 |