| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,884 |
2,414 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,571 |
1,112 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
965 |
772 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
505 |
$48K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,149 |
2,761 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
417 |
323 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,737 |
1,930 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
200 |
$17K |
| 92552 |
|
1,018 |
807 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,703 |
1,221 |
$12K |
| 99215 |
Prolong outpt/office vis |
48 |
34 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
24 |
$2K |
| 99173 |
|
1,015 |
796 |
$960.63 |
| 90670 |
|
759 |
546 |
$562.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
30 |
$439.40 |
| 90474 |
|
80 |
61 |
$398.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
26 |
$313.86 |
| 90686 |
|
37 |
35 |
$16.87 |
| 90697 |
|
17 |
12 |
$0.00 |
| 90698 |
|
48 |
36 |
$0.00 |
| 90696 |
|
21 |
14 |
$0.00 |
| 90723 |
|
97 |
67 |
$0.00 |
| 90680 |
|
65 |
48 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90633 |
|
243 |
186 |
$0.00 |
| 90710 |
|
95 |
63 |
$0.00 |
| 90734 |
|
20 |
17 |
$0.00 |