| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,861 |
5,356 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,489 |
2,346 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,515 |
1,474 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,195 |
1,135 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,017 |
3,887 |
$66K |
| 90671 |
|
538 |
489 |
$31K |
| 87428 |
|
1,133 |
1,038 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
244 |
$20K |
| 90670 |
|
1,066 |
1,037 |
$16K |
| 90686 |
|
1,041 |
1,012 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
86 |
$6K |
| 99188 |
|
546 |
541 |
$6K |
| 90461 |
|
2,510 |
2,282 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
785 |
731 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
264 |
$2K |
| 81003 |
|
230 |
224 |
$902.28 |
| 90672 |
|
272 |
257 |
$755.75 |
| 85018 |
|
351 |
341 |
$651.46 |
| 90633 |
|
361 |
349 |
$636.76 |
| 90698 |
|
667 |
650 |
$564.07 |
| 90697 |
|
558 |
506 |
$306.13 |
| 90744 |
|
250 |
242 |
$152.04 |
| 90685 |
|
15 |
15 |
$135.50 |
| 92551 |
|
388 |
380 |
$115.70 |
| 96380 |
|
47 |
44 |
$40.00 |
| 90677 |
|
137 |
130 |
$10.50 |
| 90680 |
|
1,185 |
1,132 |
$10.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| 36416 |
|
35 |
34 |
$0.00 |
| 3074F |
|
30 |
30 |
$0.00 |
| 90716 |
|
18 |
18 |
$0.00 |
| 99173 |
|
103 |
103 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
496 |
458 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
345 |
325 |
$0.00 |
| 3078F |
|
27 |
27 |
$0.00 |
| 99177 |
|
149 |
145 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
287 |
250 |
$0.00 |
| 90707 |
|
31 |
31 |
$0.00 |