| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,066 |
1,770 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
164 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
185 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
587 |
563 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
158 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
179 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
136 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
60 |
$4K |
| 80305 |
|
227 |
199 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
133 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
90 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
181 |
113 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19 |
19 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
19 |
15 |
$1K |
| 90670 |
|
167 |
162 |
$277.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$203.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
104 |
59 |
$169.70 |
| 90633 |
|
317 |
309 |
$150.50 |
| 90723 |
|
97 |
96 |
$147.62 |
| 90647 |
|
104 |
101 |
$81.27 |
| 90710 |
|
19 |
19 |
$55.20 |
| 90681 |
|
12 |
12 |
$21.70 |
| 90696 |
|
12 |
12 |
$18.40 |
| 90734 |
|
76 |
74 |
$18.40 |
| 90715 |
|
34 |
32 |
$0.00 |