| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,096 |
9,797 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,926 |
1,878 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
903 |
861 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
637 |
626 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
615 |
607 |
$50K |
| 90686 |
|
1,501 |
1,498 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
73 |
$8K |
| 99177 |
|
800 |
773 |
$8K |
| 99499 |
|
266 |
258 |
$6K |
| 90698 |
|
559 |
556 |
$5K |
| 90670 |
|
631 |
628 |
$5K |
| 99080 |
|
155 |
153 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
442 |
437 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
164 |
118 |
$3K |
| 90680 |
|
395 |
393 |
$3K |
| 90633 |
|
300 |
299 |
$3K |
| 0071A |
|
69 |
69 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
80 |
$2K |
| 90744 |
|
215 |
213 |
$2K |
| 90656 |
|
171 |
171 |
$1K |
| 96127 |
|
408 |
401 |
$1K |
| 0072A |
|
37 |
37 |
$1K |
| 90621 |
|
68 |
66 |
$650.82 |
| 90734 |
|
43 |
43 |
$595.56 |
| 0001A |
|
15 |
15 |
$588.00 |
| 90671 |
|
40 |
40 |
$549.34 |
| 0002A |
|
12 |
12 |
$504.00 |
| 90619 |
|
96 |
96 |
$447.64 |
| 90651 |
|
81 |
80 |
$382.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$201.48 |
| 90696 |
|
26 |
26 |
$184.34 |
| 90710 |
|
24 |
24 |
$170.16 |
| 90716 |
|
25 |
25 |
$170.16 |
| 99173 |
|
200 |
195 |
$78.00 |
| 90715 |
|
45 |
45 |
$42.54 |
| 99051 |
|
41 |
41 |
$15.00 |
| 99000 |
|
159 |
158 |
$1.80 |
| 90707 |
|
12 |
12 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 94760 |
|
16 |
16 |
$0.00 |
| 90697 |
|
30 |
30 |
$0.00 |