| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,609 |
8,771 |
$527K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
947 |
859 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,687 |
3,447 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
531 |
513 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
435 |
411 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
292 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
102 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
404 |
353 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
392 |
342 |
$5K |
| 90688 |
|
476 |
458 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
131 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$950.66 |
| 90461 |
|
1,125 |
1,072 |
$807.90 |
| 96127 |
|
90 |
87 |
$712.68 |
| 87807 |
|
13 |
12 |
$165.74 |
| 87420 |
|
15 |
15 |
$15.30 |