| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,011 |
6,608 |
$296K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
623 |
611 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
488 |
485 |
$70K |
| 99499 |
|
1,836 |
1,777 |
$54K |
| 99080 |
|
2,022 |
1,966 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
325 |
312 |
$34K |
| 90686 |
|
1,322 |
1,322 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
61 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
967 |
957 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
340 |
241 |
$5K |
| 90698 |
|
387 |
386 |
$3K |
| 90670 |
|
450 |
449 |
$3K |
| 90633 |
|
270 |
270 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$2K |
| 96127 |
|
473 |
461 |
$2K |
| 90680 |
|
249 |
248 |
$2K |
| 90734 |
|
77 |
77 |
$1K |
| 3008F |
|
98 |
98 |
$960.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
48 |
$883.32 |
| 90651 |
|
130 |
130 |
$873.94 |
| 90621 |
|
69 |
69 |
$666.46 |
| 90715 |
|
44 |
44 |
$434.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$378.84 |
| 90744 |
|
26 |
26 |
$198.52 |
| 90696 |
|
12 |
12 |
$170.16 |
| 90710 |
|
12 |
12 |
$170.16 |
| 90697 |
|
43 |
43 |
$0.00 |
| 90619 |
|
73 |
73 |
$0.00 |
| 83655 |
|
61 |
58 |
$0.00 |