| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,529 |
7,491 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,617 |
3,279 |
$357K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,412 |
1,363 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,179 |
1,140 |
$79K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,964 |
4,682 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
528 |
505 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,474 |
1,358 |
$29K |
| 90686 |
|
988 |
979 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
308 |
299 |
$17K |
| 90670 |
|
893 |
883 |
$17K |
| 87081 |
|
2,036 |
1,947 |
$15K |
| 90647 |
|
457 |
451 |
$9K |
| 90723 |
|
391 |
387 |
$8K |
| 90680 |
|
293 |
288 |
$6K |
| 90685 |
|
230 |
228 |
$4K |
| 92551 |
|
979 |
958 |
$4K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 90707 |
|
126 |
125 |
$2K |
| 99173 |
|
490 |
478 |
$2K |
| 90633 |
|
125 |
124 |
$2K |
| 90716 |
|
97 |
97 |
$2K |
| 90461 |
|
28 |
27 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$910.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$779.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$672.00 |
| 85014 |
|
217 |
212 |
$498.52 |
| 36416 |
|
196 |
184 |
$457.50 |
| 87807 |
|
26 |
25 |
$253.00 |
| 81000 |
|
53 |
51 |
$167.96 |
| 94664 |
|
12 |
12 |
$120.00 |
| 85018 |
|
40 |
40 |
$96.80 |
| 99050 |
|
27 |
26 |
$0.00 |