| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,467 |
3,641 |
$196K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
649 |
584 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,429 |
1,314 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
329 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
837 |
767 |
$11K |
| 92551 |
|
1,310 |
1,218 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
130 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
426 |
400 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
66 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
65 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
178 |
135 |
$2K |
| 99173 |
|
1,342 |
1,218 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$969.95 |
| 90473 |
|
32 |
26 |
$239.89 |
| 90672 |
|
67 |
41 |
$118.75 |
| 90633 |
|
117 |
108 |
$0.18 |
| 90651 |
|
46 |
43 |
$0.10 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90686 |
|
218 |
186 |
$0.00 |
| 90734 |
|
121 |
97 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |