| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,379 |
9,457 |
$576K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,306 |
4,848 |
$371K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,575 |
2,471 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,487 |
2,329 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,619 |
1,567 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,347 |
5,046 |
$72K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,317 |
3,119 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
518 |
498 |
$37K |
| 99215 |
Prolong outpt/office vis |
253 |
237 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
466 |
422 |
$21K |
| 99460 |
|
427 |
389 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
616 |
571 |
$16K |
| 99462 |
|
555 |
368 |
$12K |
| 90474 |
|
1,398 |
1,298 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$512.07 |
| 99381 |
|
14 |
13 |
$76.29 |
| 90710 |
|
772 |
729 |
$0.00 |
| 90648 |
|
1,301 |
1,216 |
$0.00 |
| 90670 |
|
1,990 |
1,862 |
$0.00 |
| 90649 |
|
71 |
61 |
$0.00 |
| 90633 |
|
965 |
925 |
$0.00 |
| 90700 |
|
145 |
136 |
$0.00 |
| 90685 |
|
91 |
90 |
$0.00 |
| 90734 |
|
54 |
43 |
$0.00 |
| 90698 |
|
334 |
310 |
$0.00 |
| 90680 |
|
1,378 |
1,284 |
$0.00 |
| 90723 |
|
847 |
799 |
$0.00 |
| 90686 |
|
768 |
744 |
$0.00 |
| 90744 |
|
220 |
206 |
$0.00 |
| 90696 |
|
25 |
21 |
$0.00 |