| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,489 |
12,315 |
$705K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,632 |
3,480 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,910 |
2,898 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,859 |
2,840 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,467 |
4,446 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,444 |
1,429 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,667 |
1,580 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
750 |
734 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
774 |
764 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
305 |
296 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
384 |
381 |
$6K |
| 0001A |
|
33 |
33 |
$840.00 |
| 0002A |
|
38 |
38 |
$840.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$377.35 |
| 96127 |
|
62 |
62 |
$277.67 |
| 99000 |
|
134 |
126 |
$269.98 |
| 99173 |
|
1,668 |
1,641 |
$62.21 |
| 81002 |
|
18 |
18 |
$57.73 |
| 90651 |
|
563 |
532 |
$0.00 |
| 90686 |
|
1,176 |
1,087 |
$0.00 |
| 90620 |
|
217 |
217 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90680 |
|
28 |
24 |
$0.00 |
| 90734 |
|
321 |
285 |
$0.00 |
| 90670 |
|
168 |
158 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 91300 |
|
78 |
77 |
$0.00 |
| 90672 |
|
63 |
50 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90648 |
|
21 |
21 |
$0.00 |