| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,997 |
1,861 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,392 |
2,182 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,764 |
1,622 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
500 |
500 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
408 |
408 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,059 |
1,049 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
351 |
351 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
840 |
831 |
$13K |
| 3008F |
|
1,338 |
1,329 |
$12K |
| 90649 |
|
257 |
257 |
$10K |
| 92552 |
|
1,047 |
1,044 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
157 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
383 |
382 |
$5K |
| 90686 |
|
142 |
142 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
318 |
309 |
$2K |
| 96127 |
|
478 |
477 |
$1K |
| 97802 |
|
2,042 |
1,991 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
97 |
92 |
$993.43 |
| 99173 |
|
961 |
960 |
$883.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
449 |
446 |
$371.30 |
| 90474 |
|
27 |
27 |
$214.66 |
| 36416 |
|
232 |
232 |
$8.10 |
| 94760 |
|
390 |
308 |
$4.89 |