| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,621 |
3,351 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,882 |
1,773 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
728 |
728 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
565 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
495 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
967 |
967 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,816 |
1,807 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
270 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
462 |
453 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
739 |
699 |
$6K |
| 90474 |
|
380 |
380 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
79 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
70 |
69 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
65 |
$888.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
41 |
$610.42 |
| 99442 |
|
12 |
12 |
$297.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
18 |
$34.02 |
| 96160 |
|
283 |
282 |
$0.00 |