| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,318 |
11,493 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,727 |
4,386 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,447 |
2,403 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,839 |
1,771 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,964 |
5,731 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,131 |
1,102 |
$81K |
| 87428 |
|
1,850 |
1,776 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
288 |
$22K |
| 90670 |
|
1,274 |
1,234 |
$18K |
| 90671 |
|
474 |
442 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,388 |
1,320 |
$9K |
| 90461 |
|
3,558 |
3,165 |
$9K |
| 99188 |
|
754 |
733 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
880 |
862 |
$6K |
| 90686 |
|
1,515 |
1,437 |
$6K |
| 99383 |
|
28 |
25 |
$2K |
| 99382 |
|
20 |
20 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
62 |
$1K |
| 85018 |
|
926 |
906 |
$1K |
| 90698 |
|
766 |
746 |
$913.08 |
| 92551 |
|
903 |
854 |
$406.14 |
| 99177 |
|
477 |
442 |
$189.81 |
| 92587 |
|
36 |
36 |
$180.56 |
| 90697 |
|
456 |
414 |
$158.91 |
| 90633 |
|
314 |
302 |
$93.00 |
| 87807 |
|
13 |
12 |
$61.80 |
| 90744 |
|
146 |
141 |
$52.50 |
| 96380 |
|
30 |
28 |
$30.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
45 |
$29.78 |
| 94760 |
|
116 |
104 |
$24.76 |
| 90677 |
|
104 |
101 |
$10.50 |
| 90680 |
|
871 |
834 |
$10.00 |
| 36416 |
|
81 |
79 |
$0.00 |
| 3074F |
|
184 |
179 |
$0.00 |
| 90651 |
|
87 |
84 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,755 |
1,667 |
$0.00 |
| 99173 |
|
307 |
291 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
394 |
351 |
$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) |
898 |
855 |
$0.00 |
| 3078F |
|
180 |
169 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |