| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,192 |
4,802 |
$543K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,866 |
1,858 |
$194K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,794 |
1,788 |
$186K |
| 90461 |
|
2,584 |
2,565 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
802 |
802 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,761 |
3,725 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,005 |
964 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
415 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,074 |
1,053 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
580 |
577 |
$13K |
| 90670 |
|
1,397 |
1,393 |
$2K |
| 90698 |
|
521 |
521 |
$698.66 |
| 81002 |
|
233 |
229 |
$695.62 |
| 90681 |
|
599 |
598 |
$552.15 |
| 90744 |
|
246 |
246 |
$199.46 |
| 90633 |
|
350 |
349 |
$145.61 |
| 90686 |
|
269 |
268 |
$142.41 |
| 90648 |
|
418 |
416 |
$79.46 |
| 96160 |
|
12 |
12 |
$56.36 |
| 90688 |
|
626 |
621 |
$42.50 |
| 90723 |
|
325 |
324 |
$32.65 |
| 90672 |
|
273 |
273 |
$2.59 |
| 90697 |
|
178 |
177 |
$0.71 |
| 90677 |
|
37 |
36 |
$0.36 |
| 90680 |
|
31 |
31 |
$0.29 |
| 90734 |
|
17 |
17 |
$0.15 |
| 90619 |
|
13 |
13 |
$0.12 |
| 90715 |
|
12 |
12 |
$0.11 |
| 90649 |
|
12 |
12 |
$0.09 |