| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,984 |
14,514 |
$666K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,082 |
2,976 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,336 |
3,175 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,780 |
2,594 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,141 |
2,067 |
$153K |
| 92587 |
|
4,381 |
4,151 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
849 |
823 |
$72K |
| 99381 |
|
555 |
536 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,880 |
1,771 |
$23K |
| 92567 |
|
1,687 |
1,458 |
$23K |
| 99383 |
|
144 |
137 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
477 |
450 |
$8K |
| 99382 |
|
40 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
27 |
$766.69 |
| 87428 |
|
15 |
12 |
$340.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
40 |
$64.42 |
| 90688 |
|
15 |
14 |
$33.53 |