| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,026 |
8,289 |
$382K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,013 |
1,931 |
$131K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,970 |
3,387 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,924 |
1,865 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,610 |
1,411 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,317 |
1,274 |
$73K |
| 99215 |
Prolong outpt/office vis |
672 |
634 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
666 |
645 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
188 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
165 |
$2K |
| 99173 |
|
484 |
470 |
$1K |
| 0001A |
|
14 |
14 |
$514.64 |
| 0002A |
|
12 |
12 |
$478.56 |
| 90473 |
|
27 |
26 |
$217.60 |
| 90686 |
|
402 |
399 |
$133.56 |
| 90633 |
|
154 |
150 |
$73.13 |
| 90688 |
|
111 |
105 |
$21.92 |
| 90648 |
|
253 |
241 |
$0.00 |
| 90734 |
|
94 |
90 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90713 |
|
47 |
43 |
$0.00 |
| 90621 |
|
28 |
26 |
$0.00 |
| 90670 |
|
400 |
374 |
$0.00 |
| 90700 |
|
308 |
292 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90671 |
|
69 |
69 |
$0.00 |
| 91300 |
|
21 |
16 |
$0.00 |
| 90715 |
|
39 |
39 |
$0.00 |
| 90658 |
|
97 |
93 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 91307 |
|
29 |
27 |
$0.00 |
| 90619 |
|
47 |
45 |
$0.00 |
| 90651 |
|
18 |
17 |
$0.00 |
| 90680 |
|
108 |
107 |
$0.00 |
| 90657 |
|
15 |
12 |
$0.00 |
| 90723 |
|
56 |
56 |
$0.00 |
| 90656 |
|
23 |
22 |
$0.00 |
| 90698 |
|
43 |
43 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |