| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,012 |
7,574 |
$655K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,626 |
4,254 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
382 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
232 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
146 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
728 |
356 |
$10K |
| 92567 |
|
1,014 |
1,007 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
696 |
686 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
323 |
320 |
$4K |
| 85018 |
|
1,330 |
1,315 |
$3K |
| 81002 |
|
1,259 |
1,210 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
80 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$911.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$789.96 |
| 92551 |
|
91 |
89 |
$586.16 |
| 36416 |
|
839 |
828 |
$583.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$428.50 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
111 |
$58.86 |
| 86580 |
|
12 |
12 |
$54.72 |
| 90686 |
|
139 |
139 |
$19.03 |
| 99173 |
|
1,058 |
1,052 |
$0.00 |
| 90734 |
|
76 |
75 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90700 |
|
43 |
43 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 99000 |
|
20 |
19 |
$0.00 |