| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,086 |
5,810 |
$228K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,866 |
2,620 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,675 |
2,665 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,753 |
1,742 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,935 |
1,908 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,445 |
1,334 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
530 |
528 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
480 |
466 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
310 |
306 |
$6K |
| 99383 |
|
13 |
13 |
$2K |
| 99382 |
|
13 |
13 |
$2K |
| 99460 |
|
12 |
12 |
$918.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
23 |
$610.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
76 |
$568.50 |
| 90686 |
|
773 |
757 |
$271.16 |
| 92551 |
|
14 |
14 |
$198.06 |
| 99173 |
|
12 |
12 |
$62.00 |
| 90681 |
|
137 |
137 |
$0.00 |
| 90670 |
|
723 |
719 |
$0.00 |
| G9920 |
Screening performed and negative |
666 |
660 |
$0.00 |
| 90633 |
|
141 |
138 |
$0.00 |
| 90723 |
|
502 |
500 |
$0.00 |
| 90647 |
|
477 |
475 |
$0.00 |