| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,688 |
14,389 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,720 |
10,058 |
$900K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,509 |
2,496 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,293 |
2,285 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,905 |
1,775 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,424 |
1,416 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,708 |
4,665 |
$71K |
| 83655 |
|
417 |
415 |
$5K |
| 99381 |
|
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
67 |
$972.59 |
| 0071A |
|
28 |
28 |
$839.68 |
| 0072A |
|
20 |
20 |
$611.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
101 |
$351.29 |
| 90651 |
|
201 |
201 |
$268.77 |
| 90621 |
|
27 |
27 |
$179.72 |
| 90715 |
|
60 |
60 |
$56.42 |
| 90633 |
|
269 |
269 |
$41.37 |
| 90686 |
|
397 |
397 |
$40.06 |
| 90670 |
|
755 |
754 |
$0.00 |
| 90671 |
|
150 |
150 |
$0.00 |
| 90648 |
|
784 |
782 |
$0.00 |
| 90681 |
|
40 |
40 |
$0.00 |
| 90734 |
|
204 |
204 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90723 |
|
520 |
518 |
$0.00 |
| 90677 |
|
56 |
56 |
$0.00 |
| 90647 |
|
53 |
53 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 91307 |
|
27 |
22 |
$0.00 |