| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,896 |
8,648 |
$355K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,015 |
1,830 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,340 |
1,293 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
817 |
790 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
823 |
791 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,925 |
1,834 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,189 |
1,134 |
$18K |
| 92551 |
|
2,118 |
2,023 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
257 |
248 |
$15K |
| 96127 |
|
3,958 |
3,588 |
$5K |
| 99173 |
|
2,362 |
2,262 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
302 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
321 |
176 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90474 |
|
33 |
27 |
$246.51 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90698 |
|
43 |
39 |
$0.00 |
| 90686 |
|
309 |
297 |
$0.00 |
| 90674 |
|
80 |
74 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90633 |
|
239 |
232 |
$0.00 |
| 90670 |
|
162 |
149 |
$0.00 |
| 90649 |
|
86 |
85 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90734 |
|
49 |
45 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |