| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,492 |
45,862 |
$3.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,309 |
28,797 |
$2.50M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
438 |
421 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,364 |
2,358 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
392 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
332 |
297 |
$31K |
| 96127 |
|
6,706 |
6,593 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
373 |
$17K |
| 90686 |
|
1,177 |
1,176 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
787 |
785 |
$9K |
| 99215 |
Prolong outpt/office vis |
215 |
97 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,351 |
1,334 |
$8K |
| 0002A |
|
174 |
174 |
$6K |
| 0012A |
|
201 |
201 |
$6K |
| 0011A |
|
189 |
189 |
$4K |
| 0001A |
|
98 |
95 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
26 |
$2K |
| 0064A |
|
36 |
36 |
$1K |
| 0071A |
|
25 |
25 |
$895.65 |
| 0072A |
|
21 |
21 |
$744.23 |
| 80305 |
|
45 |
41 |
$520.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$254.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$118.84 |
| 96160 |
|
35 |
35 |
$88.44 |