| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,756 |
12,759 |
$860K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,495 |
1,478 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,238 |
1,191 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,243 |
1,227 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,456 |
3,332 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
923 |
865 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
573 |
561 |
$56K |
| 97802 |
|
1,796 |
1,786 |
$45K |
| 90461 |
|
1,871 |
1,790 |
$25K |
| 85018 |
|
4,353 |
4,276 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
208 |
$8K |
| 81003 |
|
3,160 |
3,099 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
355 |
265 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
168 |
$2K |
| 90651 |
|
164 |
144 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 83655 |
|
80 |
80 |
$960.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
116 |
$584.08 |
| 90670 |
|
447 |
436 |
$260.02 |
| 90680 |
|
181 |
171 |
$183.22 |
| 90686 |
|
338 |
334 |
$131.39 |
| 90723 |
|
215 |
213 |
$77.27 |
| 90672 |
|
36 |
32 |
$67.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$63.24 |
| 90671 |
|
20 |
18 |
$0.03 |
| 90649 |
|
79 |
79 |
$0.00 |
| 90633 |
|
209 |
175 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
80 |
74 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
14 |
14 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90660 |
|
55 |
55 |
$0.00 |
| 90647 |
|
178 |
165 |
$0.00 |
| 36416 |
|
62 |
61 |
$0.00 |
| 90696 |
|
17 |
15 |
$0.00 |