| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,566 |
2,176 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
473 |
449 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
391 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
965 |
869 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
234 |
222 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
207 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
354 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
124 |
$13K |
| 99058 |
|
195 |
178 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| 94760 |
|
291 |
257 |
$678.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
13 |
$8.18 |
| 90698 |
|
146 |
144 |
$0.00 |
| 90744 |
|
29 |
29 |
$0.00 |
| 90686 |
|
110 |
105 |
$0.00 |
| 90680 |
|
90 |
90 |
$0.00 |
| 90633 |
|
99 |
96 |
$0.00 |
| 90670 |
|
252 |
237 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90685 |
|
44 |
44 |
$0.00 |
| 90734 |
|
58 |
53 |
$0.00 |
| 90710 |
|
84 |
81 |
$0.00 |