| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,580 |
3,193 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
804 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
924 |
875 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
852 |
756 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
475 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
958 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
812 |
743 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,806 |
1,686 |
$7K |
| 92552 |
|
1,478 |
1,390 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$918.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
333 |
312 |
$228.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$210.00 |
| 99173 |
|
1,392 |
1,289 |
$177.90 |
| 90723 |
|
200 |
192 |
$40.00 |
| 90686 |
|
258 |
245 |
$30.00 |
| 90670 |
|
695 |
651 |
$0.00 |
| 90648 |
|
258 |
246 |
$0.00 |
| 90633 |
|
192 |
181 |
$0.00 |
| 90681 |
|
43 |
39 |
$0.00 |
| 90672 |
|
57 |
53 |
$0.00 |
| 90710 |
|
233 |
217 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90698 |
|
87 |
78 |
$0.00 |
| 90680 |
|
48 |
47 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |