| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,627 |
3,300 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,212 |
1,189 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
947 |
927 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
992 |
962 |
$62K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
167 |
158 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,311 |
1,041 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
704 |
686 |
$42K |
| 95117 |
|
2,120 |
797 |
$20K |
| 92551 |
|
1,771 |
1,710 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
42 |
14 |
$14K |
| 90688 |
|
734 |
690 |
$6K |
| 99173 |
|
1,768 |
1,709 |
$4K |
| 90620 |
|
273 |
262 |
$3K |
| 99080 |
|
344 |
335 |
$3K |
| 90670 |
|
592 |
575 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
274 |
265 |
$2K |
| 90651 |
|
430 |
410 |
$2K |
| 90698 |
|
392 |
377 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
180 |
$2K |
| 90716 |
|
293 |
292 |
$2K |
| 90707 |
|
288 |
287 |
$2K |
| 90680 |
|
321 |
320 |
$2K |
| 90633 |
|
254 |
238 |
$1K |
| 99188 |
|
69 |
69 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
37 |
$770.00 |
| 90744 |
|
159 |
150 |
$720.16 |
| 90715 |
|
147 |
147 |
$604.51 |
| 90696 |
|
59 |
59 |
$388.78 |
| 85018 |
|
1,838 |
1,770 |
$374.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$106.71 |
| 83655 |
|
157 |
148 |
$90.00 |
| 90686 |
|
67 |
67 |
$0.00 |
| 90734 |
|
578 |
429 |
$0.00 |