| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,293 |
6,491 |
$231K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,737 |
2,354 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
673 |
648 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
385 |
367 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,713 |
1,433 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
221 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
46 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
53 |
$4K |
| 0012A |
|
47 |
43 |
$1K |
| 0011A |
|
42 |
41 |
$488.64 |
| 93000 |
|
200 |
146 |
$429.36 |
| 90686 |
|
323 |
317 |
$338.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
45 |
$264.85 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
12 |
$51.35 |
| 87807 |
|
13 |
12 |
$33.44 |
| 90633 |
|
24 |
24 |
$23.00 |
| 90661 |
|
26 |
26 |
$18.93 |
| 90670 |
|
168 |
156 |
$9.26 |
| 90698 |
|
179 |
167 |
$0.05 |
| 3078F |
|
14 |
12 |
$0.00 |
| 1160F |
|
15 |
14 |
$0.00 |
| 90680 |
|
59 |
53 |
$0.00 |
| 91301 |
|
39 |
39 |
$0.00 |
| 90677 |
|
29 |
26 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 3008F |
|
15 |
14 |
$0.00 |
| 90744 |
|
18 |
12 |
$0.00 |