| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,415 |
12,667 |
$751K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,389 |
1,348 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,508 |
1,505 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,341 |
1,340 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,196 |
1,196 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,023 |
992 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,078 |
6,044 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,402 |
2,396 |
$32K |
| 87430 |
|
2,210 |
2,166 |
$11K |
| 99442 |
|
56 |
55 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
70 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 99441 |
|
39 |
38 |
$971.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
234 |
233 |
$889.19 |
| 87276 |
|
22 |
22 |
$269.65 |
| 87275 |
|
22 |
22 |
$225.97 |
| 90686 |
|
303 |
300 |
$22.00 |
| 90677 |
|
38 |
38 |
$7.00 |
| 90658 |
|
99 |
99 |
$1.00 |
| 90670 |
|
143 |
142 |
$0.00 |
| 90648 |
|
128 |
128 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 90734 |
|
82 |
82 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90723 |
|
49 |
49 |
$0.00 |