| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,574 |
11,602 |
$814K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,833 |
3,411 |
$364K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,237 |
5,151 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,473 |
1,449 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,132 |
1,095 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,151 |
1,138 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
693 |
680 |
$52K |
| 92551 |
|
2,522 |
2,515 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,762 |
1,663 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 90688 |
|
175 |
174 |
$1K |
| 92567 |
|
69 |
65 |
$941.68 |
| 99441 |
|
18 |
17 |
$778.14 |
| 81000 |
|
166 |
162 |
$297.67 |
| 91307 |
|
15 |
15 |
$45.85 |