| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,617 |
42,026 |
$1.53M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,287 |
22,473 |
$325K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,906 |
5,335 |
$146K |
| 90461 |
|
2,475 |
2,284 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
986 |
947 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
875 |
853 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
809 |
752 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
350 |
337 |
$24K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
881 |
748 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,248 |
1,163 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
235 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
430 |
195 |
$4K |
| 99174 |
|
296 |
284 |
$4K |
| 81003 |
|
2,698 |
2,580 |
$3K |
| 85018 |
|
1,186 |
1,160 |
$3K |
| 96127 |
|
974 |
947 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
205 |
$2K |
| 86308 |
|
65 |
64 |
$568.77 |
| 90633 |
|
762 |
743 |
$547.47 |
| 90686 |
|
1,301 |
1,271 |
$280.13 |
| 90670 |
|
308 |
295 |
$200.94 |
| 90651 |
|
125 |
124 |
$172.20 |
| 90698 |
|
261 |
249 |
$92.08 |
| 90685 |
|
23 |
23 |
$55.20 |
| 90887 |
|
901 |
769 |
$0.26 |
| 90785 |
|
25 |
17 |
$0.14 |
| 90621 |
|
49 |
48 |
$0.04 |
| 90677 |
|
24 |
24 |
$0.03 |
| H0032 |
Mental health service plan development by non-physician |
469 |
409 |
$0.01 |
| 90680 |
|
54 |
50 |
$0.01 |
| 90697 |
|
13 |
12 |
$0.01 |
| 90734 |
|
73 |
73 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90619 |
|
15 |
13 |
$0.00 |