| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,628 |
6,836 |
$459K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,410 |
2,405 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,093 |
2,090 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,151 |
3,944 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,973 |
1,953 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,305 |
1,305 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,933 |
5,908 |
$100K |
| 92552 |
|
1,407 |
1,405 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
944 |
579 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,343 |
1,298 |
$5K |
| 81002 |
|
1,629 |
1,618 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
212 |
$1K |
| 87807 |
|
101 |
101 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$987.56 |
| 99406 |
|
1,384 |
1,378 |
$730.27 |
| 90619 |
|
117 |
116 |
$495.39 |
| 83655 |
|
29 |
29 |
$433.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$240.00 |
| 99173 |
|
1,246 |
1,245 |
$167.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
97 |
$161.90 |
| 90686 |
|
1,587 |
1,582 |
$93.24 |
| 90715 |
|
190 |
190 |
$56.42 |
| 90680 |
|
820 |
820 |
$0.00 |
| 90698 |
|
1,043 |
1,043 |
$0.00 |
| 90716 |
|
404 |
403 |
$0.00 |
| 90677 |
|
142 |
142 |
$0.00 |
| 90744 |
|
279 |
279 |
$0.00 |
| 90697 |
|
231 |
231 |
$0.00 |
| 90651 |
|
328 |
328 |
$0.00 |
| 36416 |
|
42 |
42 |
$0.00 |
| 90633 |
|
483 |
483 |
$0.00 |
| 90700 |
|
396 |
395 |
$0.00 |
| 90685 |
|
200 |
200 |
$0.00 |
| 90461 |
|
2,152 |
2,149 |
$0.00 |
| 90670 |
|
1,433 |
1,433 |
$0.00 |
| 90707 |
|
461 |
461 |
$0.00 |
| 90713 |
|
169 |
169 |
$0.00 |
| 90734 |
|
193 |
193 |
$0.00 |
| 90671 |
|
135 |
134 |
$0.00 |
| 90672 |
|
28 |
28 |
$0.00 |