| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,036 |
7,957 |
$542K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,790 |
2,716 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,712 |
2,653 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,784 |
2,615 |
$228K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,951 |
1,887 |
$170K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,349 |
3,770 |
$159K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,409 |
4,240 |
$112K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,265 |
7,015 |
$82K |
| 54150 |
|
51 |
49 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
164 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
119 |
119 |
$879.34 |
| 90649 |
|
718 |
701 |
$175.00 |
| 36416 |
|
50 |
49 |
$142.81 |
| 90734 |
|
597 |
587 |
$106.74 |
| 90715 |
|
186 |
182 |
$46.45 |
| 90688 |
|
669 |
663 |
$25.35 |
| 90680 |
|
1,484 |
1,426 |
$11.34 |
| 90744 |
|
1,010 |
981 |
$7.33 |
| 90670 |
|
2,158 |
2,079 |
$4.36 |
| 90633 |
|
1,531 |
1,502 |
$3.83 |
| 90698 |
|
1,692 |
1,633 |
$3.09 |
| 90710 |
|
400 |
390 |
$1.20 |
| 90700 |
|
243 |
229 |
$0.85 |
| 90648 |
|
211 |
204 |
$0.81 |
| 90621 |
|
114 |
113 |
$0.51 |
| 90696 |
|
138 |
124 |
$0.47 |
| 90687 |
|
60 |
60 |
$0.31 |
| 90713 |
|
61 |
57 |
$0.30 |
| 90620 |
|
47 |
47 |
$0.18 |
| 90716 |
|
42 |
39 |
$0.03 |
| 90677 |
|
157 |
155 |
$0.02 |
| 90707 |
|
42 |
39 |
$0.01 |
| 90619 |
|
78 |
73 |
$0.00 |