| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,513 |
4,889 |
$292K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,132 |
2,005 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,418 |
1,375 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,122 |
2,994 |
$50K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,177 |
2,102 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
467 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
299 |
$27K |
| 90686 |
|
691 |
673 |
$4K |
| 90670 |
|
984 |
943 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
97 |
$3K |
| 90648 |
|
1,065 |
1,003 |
$3K |
| 90474 |
|
211 |
200 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
82 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
72 |
$1K |
| 90723 |
|
699 |
649 |
$931.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$654.63 |
| 90685 |
|
13 |
12 |
$473.29 |
| 83655 |
|
37 |
37 |
$412.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$100.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
17 |
$32.96 |
| 90681 |
|
258 |
241 |
$21.56 |
| 90677 |
|
72 |
64 |
$0.38 |
| 90710 |
|
93 |
92 |
$0.02 |
| 90633 |
|
88 |
86 |
$0.02 |