| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,842 |
6,783 |
$481K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,801 |
2,487 |
$237K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,941 |
1,834 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,588 |
1,468 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,287 |
1,216 |
$111K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,336 |
3,100 |
$68K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,732 |
4,394 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
483 |
459 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,860 |
1,685 |
$23K |
| 99381 |
|
47 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
100 |
$3K |
| 99383 |
|
13 |
12 |
$1K |
| 90670 |
|
1,349 |
1,263 |
$1K |
| 99000 |
|
158 |
141 |
$428.76 |
| 90698 |
|
420 |
381 |
$318.08 |
| 90686 |
|
331 |
307 |
$287.41 |
| 90633 |
|
416 |
397 |
$225.03 |
| 90680 |
|
251 |
235 |
$109.29 |
| 90707 |
|
433 |
400 |
$90.05 |
| 90744 |
|
17 |
14 |
$90.02 |
| 90716 |
|
355 |
329 |
$75.05 |
| 90648 |
|
99 |
94 |
$60.71 |
| 90700 |
|
53 |
52 |
$30.02 |
| 99173 |
|
15 |
15 |
$21.18 |
| 90651 |
|
49 |
46 |
$0.00 |
| 90677 |
|
78 |
78 |
$0.00 |
| 90696 |
|
29 |
24 |
$0.00 |
| 90697 |
|
166 |
151 |
$0.00 |
| 90647 |
|
91 |
88 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90734 |
|
81 |
75 |
$0.00 |
| 90715 |
|
32 |
28 |
$0.00 |
| 99072 |
|
1,480 |
1,289 |
$0.00 |