| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,567 |
12,567 |
$862K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,965 |
1,961 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,571 |
1,566 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,458 |
1,454 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,325 |
4,265 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
764 |
758 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
265 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,261 |
2,232 |
$16K |
| 92081 |
|
459 |
457 |
$8K |
| 85018 |
|
4,185 |
4,163 |
$5K |
| 99406 |
|
1,265 |
1,259 |
$4K |
| 81003 |
|
4,121 |
4,076 |
$4K |
| 97803 |
|
3,115 |
3,090 |
$2K |
| 0071A |
|
26 |
26 |
$980.11 |
| 99000 |
|
459 |
448 |
$860.00 |
| 0072A |
|
15 |
15 |
$579.91 |
| 90677 |
|
12 |
12 |
$327.84 |
| 92551 |
|
26 |
26 |
$199.27 |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$147.70 |
| 90658 |
|
348 |
346 |
$109.67 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$31.05 |
| 90670 |
|
600 |
597 |
$0.00 |
| 90648 |
|
681 |
679 |
$0.00 |
| 90700 |
|
1,174 |
1,171 |
$0.00 |
| 90633 |
|
216 |
214 |
$0.00 |
| 90713 |
|
925 |
922 |
$0.00 |
| 99072 |
|
376 |
367 |
$0.00 |
| 90707 |
|
150 |
150 |
$0.00 |
| 90734 |
|
124 |
124 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90716 |
|
140 |
138 |
$0.00 |
| 90680 |
|
102 |
102 |
$0.00 |
| 90619 |
|
100 |
99 |
$0.00 |
| 90744 |
|
133 |
132 |
$0.00 |
| 90651 |
|
176 |
176 |
$0.00 |