| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,608 |
9,707 |
$663K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,028 |
1,886 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,009 |
1,718 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,792 |
1,723 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,613 |
1,573 |
$135K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,826 |
6,204 |
$86K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,455 |
6,050 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,217 |
2,858 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,052 |
1,853 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,182 |
514 |
$17K |
| 36416 |
|
4,592 |
4,242 |
$14K |
| 90474 |
|
573 |
477 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
154 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 81002 |
|
150 |
145 |
$502.64 |
| 0071A |
|
16 |
12 |
$446.52 |
| 90744 |
|
135 |
130 |
$0.00 |
| 90620 |
|
246 |
237 |
$0.00 |
| 90698 |
|
829 |
703 |
$0.00 |
| 90686 |
|
773 |
765 |
$0.00 |
| 90680 |
|
606 |
513 |
$0.00 |
| 90619 |
|
36 |
36 |
$0.00 |
| 90651 |
|
287 |
279 |
$0.00 |
| 90677 |
|
78 |
57 |
$0.00 |
| 90657 |
|
58 |
47 |
$0.00 |
| 90688 |
|
379 |
374 |
$0.00 |
| 91307 |
|
18 |
15 |
$0.00 |
| 90670 |
|
1,103 |
1,039 |
$0.00 |
| 90633 |
|
199 |
199 |
$0.00 |
| 90734 |
|
255 |
255 |
$0.00 |
| 90671 |
|
266 |
177 |
$0.00 |
| 90685 |
|
462 |
462 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90710 |
|
220 |
213 |
$0.00 |
| 90687 |
|
208 |
192 |
$0.00 |
| 90658 |
|
92 |
75 |
$0.00 |