| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,155 |
1,031 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
443 |
409 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
839 |
807 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
269 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
172 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$6K |
| 99070 |
|
363 |
345 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
55 |
$1K |
| 97802 |
|
75 |
68 |
$751.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
57 |
$411.61 |
| 87807 |
|
19 |
19 |
$229.97 |
| 88720 |
|
36 |
30 |
$138.48 |
| 36416 |
|
48 |
48 |
$127.73 |
| 94760 |
|
25 |
22 |
$55.68 |
| 90698 |
|
141 |
137 |
$0.02 |
| 90670 |
|
293 |
286 |
$0.02 |
| 90686 |
|
67 |
61 |
$0.00 |
| 90680 |
|
55 |
54 |
$0.00 |
| 99000 |
|
301 |
291 |
$0.00 |
| 90723 |
|
17 |
17 |
$0.00 |
| 90685 |
|
56 |
54 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |