| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,491 |
11,300 |
$840K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,520 |
5,358 |
$478K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,099 |
4,861 |
$444K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,915 |
3,824 |
$369K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,347 |
3,023 |
$271K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,610 |
9,315 |
$179K |
| 92567 |
|
10,208 |
8,648 |
$126K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,507 |
4,427 |
$86K |
| 99383 |
|
211 |
207 |
$19K |
| 99384 |
|
101 |
101 |
$9K |
| 99381 |
|
86 |
82 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
438 |
414 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$3K |
| 0071A |
|
58 |
57 |
$2K |
| 0072A |
|
56 |
56 |
$2K |
| 0001A |
|
33 |
33 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
68 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 0002A |
|
15 |
15 |
$590.44 |
| 90677 |
|
175 |
175 |
$358.25 |
| 90619 |
|
319 |
315 |
$170.00 |
| 90651 |
|
997 |
982 |
$56.12 |
| 90715 |
|
313 |
313 |
$48.96 |
| 90671 |
|
76 |
75 |
$41.00 |
| 91307 |
|
175 |
160 |
$36.27 |
| 91300 |
|
109 |
101 |
$13.18 |
| 90633 |
|
1,255 |
1,245 |
$2.00 |
| 90734 |
|
829 |
821 |
$1.00 |
| 90670 |
|
1,825 |
1,805 |
$1.00 |
| 90744 |
|
974 |
966 |
$1.00 |
| 90685 |
|
296 |
284 |
$0.00 |
| 99173 |
|
1,003 |
992 |
$0.00 |
| 90710 |
|
355 |
352 |
$0.00 |
| 90707 |
|
87 |
87 |
$0.00 |
| 90700 |
|
161 |
160 |
$0.00 |
| 90648 |
|
82 |
80 |
$0.00 |
| 90716 |
|
102 |
102 |
$0.00 |
| 90680 |
|
886 |
879 |
$0.00 |
| 90698 |
|
1,476 |
1,471 |
$0.00 |
| 90686 |
|
2,797 |
2,709 |
$0.00 |
| 90696 |
|
178 |
176 |
$0.00 |