| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,086 |
7,567 |
$483K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,309 |
4,283 |
$211K |
| 90461 |
|
2,522 |
2,506 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,034 |
1,032 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
832 |
830 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
682 |
676 |
$69K |
| 99173 |
|
2,641 |
2,636 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
425 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
355 |
$35K |
| 90686 |
|
1,362 |
1,362 |
$17K |
| 87430 |
|
1,006 |
991 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
675 |
675 |
$14K |
| 99080 |
|
1,192 |
1,181 |
$6K |
| 96127 |
|
787 |
783 |
$4K |
| 90685 |
|
262 |
262 |
$3K |
| 90688 |
|
141 |
138 |
$2K |
| 81002 |
|
674 |
672 |
$2K |
| 0072A |
|
24 |
24 |
$960.00 |
| 0071A |
|
18 |
18 |
$720.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$392.88 |
| 90651 |
|
67 |
67 |
$60.10 |
| 90670 |
|
510 |
506 |
$1.70 |
| 90698 |
|
152 |
151 |
$0.56 |
| 90680 |
|
93 |
92 |
$0.34 |
| 90648 |
|
80 |
80 |
$0.26 |
| 90723 |
|
14 |
14 |
$0.08 |
| 90734 |
|
36 |
36 |
$0.07 |
| 90633 |
|
12 |
12 |
$0.04 |
| 91307 |
|
30 |
27 |
$0.03 |