| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,448 |
5,660 |
$394K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
971 |
880 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
903 |
873 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
713 |
650 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
724 |
684 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,333 |
1,264 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
30 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
882 |
845 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$924.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
951 |
871 |
$576.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
39 |
$178.74 |
| 81002 |
|
832 |
779 |
$60.61 |
| 87430 |
|
70 |
70 |
$40.88 |
| 90633 |
|
627 |
592 |
$14.18 |
| 92551 |
|
1,399 |
1,323 |
$12.09 |
| 81001 |
|
32 |
31 |
$2.94 |
| 90670 |
|
394 |
374 |
$0.00 |
| 1159F |
|
1,774 |
1,580 |
$0.00 |
| 90461 |
|
251 |
233 |
$0.00 |
| 99173 |
|
1,406 |
1,330 |
$0.00 |
| 1160F |
|
1,765 |
1,572 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90734 |
|
83 |
78 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90700 |
|
17 |
17 |
$0.00 |
| 90710 |
|
30 |
28 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 96160 |
|
27 |
26 |
$0.00 |
| 1126F |
|
27 |
26 |
$0.00 |
| 90620 |
|
67 |
66 |
$0.00 |
| 90647 |
|
284 |
277 |
$0.00 |
| 90686 |
|
47 |
46 |
$0.00 |
| 1036F |
|
250 |
236 |
$0.00 |
| 90651 |
|
293 |
271 |
$0.00 |
| 90723 |
|
38 |
37 |
$0.00 |
| 1000F |
|
111 |
107 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| 90716 |
|
15 |
14 |
$0.00 |