| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,256 |
1,915 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,647 |
1,379 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
531 |
422 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
334 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
753 |
657 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
97 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
74 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
61 |
$6K |
| 99174 |
|
352 |
315 |
$6K |
| 92552 |
|
486 |
406 |
$5K |
| 99173 |
|
470 |
375 |
$3K |
| 99188 |
|
31 |
27 |
$540.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
30 |
$343.50 |
| 96160 |
|
26 |
14 |
$70.00 |
| 85018 |
|
1,593 |
1,376 |
$26.37 |
| 90686 |
|
190 |
180 |
$19.03 |
| 81002 |
|
150 |
139 |
$2.44 |
| 90671 |
|
107 |
99 |
$0.00 |
| 90648 |
|
285 |
255 |
$0.00 |
| 90633 |
|
81 |
63 |
$0.00 |
| 90461 |
|
897 |
766 |
$0.00 |
| 90670 |
|
152 |
134 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 90723 |
|
131 |
117 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 90732 |
|
19 |
13 |
$0.00 |