| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,421 |
8,631 |
$500K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,276 |
2,165 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,781 |
3,680 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,119 |
1,107 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,002 |
985 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
995 |
974 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
434 |
429 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
886 |
861 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
690 |
550 |
$9K |
| 90461 |
|
315 |
296 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$3K |
| 90670 |
|
425 |
386 |
$220.86 |
| 99000 |
|
80 |
73 |
$89.77 |
| 90698 |
|
384 |
336 |
$20.28 |
| 90686 |
|
648 |
590 |
$6.77 |
| 90633 |
|
67 |
62 |
$0.00 |
| 90685 |
|
40 |
38 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 90734 |
|
17 |
16 |
$0.00 |
| 90680 |
|
117 |
98 |
$0.00 |
| 90651 |
|
26 |
24 |
$0.00 |
| 90744 |
|
55 |
40 |
$0.00 |