| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,745 |
3,437 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,571 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
893 |
779 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
804 |
789 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
429 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,617 |
1,540 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,066 |
1,023 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
99 |
$3K |
| 90674 |
|
214 |
202 |
$3K |
| 90686 |
|
206 |
187 |
$3K |
| 87428 |
|
60 |
55 |
$2K |
| 96127 |
|
733 |
697 |
$1K |
| 90670 |
|
169 |
157 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
51 |
50 |
$1K |
| 91307 |
|
104 |
65 |
$680.00 |
| 90473 |
|
89 |
86 |
$658.61 |
| 0072A |
|
24 |
21 |
$640.00 |
| 0071A |
|
47 |
26 |
$600.00 |
| 0001A |
|
22 |
15 |
$560.00 |
| 91300 |
|
96 |
63 |
$440.00 |
| 90672 |
|
54 |
52 |
$399.83 |
| 90648 |
|
13 |
13 |
$321.42 |
| 90723 |
|
218 |
210 |
$236.61 |
| 90661 |
|
50 |
50 |
$197.69 |
| 91305 |
|
23 |
17 |
$120.00 |
| 83655 |
|
16 |
16 |
$99.00 |
| 85018 |
|
16 |
16 |
$19.62 |
| 81003 |
|
14 |
14 |
$18.36 |
| 96161 |
|
46 |
46 |
$8.68 |
| 90660 |
|
17 |
17 |
$0.05 |
| 90680 |
|
152 |
144 |
$0.01 |
| 90647 |
|
253 |
239 |
$0.01 |
| 90677 |
|
152 |
146 |
$0.01 |
| 90700 |
|
47 |
43 |
$0.01 |
| 99050 |
|
12 |
12 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90651 |
|
18 |
17 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90713 |
|
16 |
14 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 99173 |
|
19 |
14 |
$0.00 |