| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,847 |
7,269 |
$319K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,895 |
10,419 |
$294K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,762 |
2,502 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,545 |
2,317 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,716 |
1,554 |
$107K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
374 |
317 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,463 |
5,039 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,923 |
2,728 |
$57K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
606 |
581 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
694 |
658 |
$41K |
| 92551 |
|
5,349 |
4,888 |
$39K |
| 95115 |
|
4,932 |
2,024 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
366 |
$25K |
| 99173 |
|
6,061 |
5,405 |
$10K |
| 90473 |
|
467 |
433 |
$4K |
| 90474 |
|
473 |
437 |
$4K |
| 99499 |
|
355 |
317 |
$3K |
| 85018 |
|
1,926 |
1,473 |
$3K |
| 94010 |
|
114 |
105 |
$2K |
| 81002 |
|
1,210 |
1,040 |
$2K |
| 93000 |
|
131 |
118 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
25 |
$2K |
| 99381 |
|
17 |
15 |
$1K |
| 95024 |
|
30 |
30 |
$897.08 |
| 92567 |
|
16 |
16 |
$224.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
399 |
302 |
$164.02 |
| 36416 |
|
2,350 |
1,423 |
$15.16 |
| 90633 |
|
399 |
334 |
$0.01 |
| 90716 |
|
296 |
251 |
$0.00 |
| 90680 |
|
238 |
220 |
$0.00 |
| 90620 |
|
284 |
259 |
$0.00 |
| 90686 |
|
1,709 |
1,511 |
$0.00 |
| 90723 |
|
173 |
161 |
$0.00 |
| 90648 |
|
775 |
695 |
$0.00 |
| 90715 |
|
107 |
90 |
$0.00 |
| 90670 |
|
903 |
782 |
$0.00 |
| 90649 |
|
777 |
688 |
$0.00 |
| 90707 |
|
285 |
240 |
$0.00 |
| 90672 |
|
657 |
569 |
$0.00 |
| 90734 |
|
607 |
528 |
$0.00 |
| 90700 |
|
520 |
457 |
$0.00 |
| 90713 |
|
157 |
140 |
$0.00 |
| 96160 |
|
56 |
50 |
$0.00 |