| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,143 |
17,221 |
$799K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,264 |
8,631 |
$570K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,910 |
1,854 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,854 |
1,811 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,872 |
3,758 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,688 |
5,442 |
$75K |
| 99173 |
|
3,018 |
2,923 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,129 |
1,110 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,105 |
1,068 |
$56K |
| 90461 |
|
1,801 |
1,759 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,912 |
1,501 |
$40K |
| 92551 |
|
2,885 |
2,786 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,334 |
2,234 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,015 |
998 |
$11K |
| 90670 |
|
996 |
968 |
$9K |
| 87807 |
|
431 |
399 |
$5K |
| 36416 |
|
2,421 |
2,318 |
$4K |
| 90633 |
|
637 |
624 |
$3K |
| 83655 |
|
299 |
293 |
$3K |
| 90688 |
|
616 |
606 |
$2K |
| 94760 |
|
1,402 |
1,236 |
$2K |
| 90723 |
|
543 |
525 |
$2K |
| 90648 |
|
764 |
743 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
75 |
$1K |
| 90734 |
|
181 |
170 |
$404.86 |
| 90687 |
|
87 |
86 |
$337.84 |
| 81002 |
|
89 |
82 |
$156.54 |
| 90681 |
|
111 |
110 |
$153.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$147.85 |
| 90716 |
|
12 |
12 |
$147.20 |
| 90715 |
|
60 |
58 |
$128.80 |
| 86769 |
|
13 |
13 |
$115.94 |
| 90649 |
|
25 |
25 |
$110.40 |
| 86308 |
|
13 |
13 |
$99.43 |
| 99177 |
|
12 |
12 |
$40.04 |
| 3008F |
|
829 |
777 |
$2.54 |
| 2014F |
|
35 |
35 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |