| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,278 |
10,313 |
$663K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,202 |
2,200 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,938 |
1,893 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,316 |
$119K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,659 |
4,646 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
567 |
566 |
$42K |
| 90461 |
|
1,615 |
1,567 |
$16K |
| 99401 |
|
1,976 |
1,974 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
133 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
352 |
343 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 83655 |
|
60 |
56 |
$617.28 |
| 99173 |
|
1,737 |
1,579 |
$407.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$152.12 |
| 85018 |
|
62 |
58 |
$103.19 |
| 87070 |
|
13 |
13 |
$75.79 |
| 90674 |
|
114 |
112 |
$29.94 |
| 94760 |
|
34 |
33 |
$5.60 |
| 90670 |
|
220 |
220 |
$0.00 |
| 90661 |
|
28 |
28 |
$0.00 |
| 3088F |
|
20 |
20 |
$0.00 |
| 99072 |
|
75 |
74 |
$0.00 |
| 90686 |
|
249 |
248 |
$0.00 |
| 36416 |
|
38 |
38 |
$0.00 |
| 90647 |
|
51 |
51 |
$0.00 |
| 90723 |
|
78 |
78 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |