| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,071 |
14,761 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,766 |
3,574 |
$404K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,718 |
1,686 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,836 |
1,785 |
$257K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,106 |
1,093 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,007 |
977 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,564 |
4,375 |
$47K |
| 92552 |
|
4,178 |
4,074 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,690 |
2,570 |
$21K |
| 97803 |
|
2,789 |
2,732 |
$21K |
| 97802 |
|
1,470 |
1,387 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
503 |
481 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
476 |
246 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,128 |
3,829 |
$2K |
| 90658 |
|
268 |
258 |
$480.20 |
| 99188 |
|
29 |
29 |
$280.37 |
| 90707 |
|
471 |
449 |
$126.02 |
| 90633 |
|
665 |
627 |
$70.01 |
| 90716 |
|
466 |
440 |
$68.01 |
| 90648 |
|
977 |
916 |
$50.00 |
| 90700 |
|
216 |
206 |
$36.01 |
| 90670 |
|
1,031 |
984 |
$24.01 |
| 90734 |
|
303 |
295 |
$24.01 |
| 90649 |
|
202 |
196 |
$0.00 |
| 90715 |
|
116 |
115 |
$0.00 |
| 91300 |
|
27 |
25 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90723 |
|
522 |
502 |
$0.00 |
| 90680 |
|
556 |
541 |
$0.00 |
| 90696 |
|
83 |
83 |
$0.00 |
| 90651 |
|
23 |
22 |
$0.00 |
| 90620 |
|
57 |
53 |
$0.00 |
| 90686 |
|
16 |
15 |
$0.00 |