| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,101 |
8,633 |
$688K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,316 |
1,207 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
925 |
870 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
859 |
809 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,138 |
2,920 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
369 |
347 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,478 |
1,393 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
139 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
58 |
$3K |
| 0002A |
|
68 |
57 |
$2K |
| 0001A |
|
44 |
43 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 99070 |
|
28 |
28 |
$405.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$298.41 |
| 90670 |
|
323 |
304 |
$0.00 |
| 90658 |
|
510 |
481 |
$0.00 |
| 90734 |
|
70 |
68 |
$0.00 |
| 91300 |
|
211 |
188 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90686 |
|
86 |
79 |
$0.00 |
| 90696 |
|
102 |
98 |
$0.00 |
| 90698 |
|
138 |
128 |
$0.00 |
| 90697 |
|
101 |
99 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90677 |
|
89 |
88 |
$0.00 |
| 90660 |
|
42 |
41 |
$0.00 |
| 90680 |
|
25 |
24 |
$0.00 |