| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,108 |
9,270 |
$555K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,590 |
2,521 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,882 |
3,657 |
$369K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,503 |
2,359 |
$302K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,476 |
1,452 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,011 |
999 |
$145K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,429 |
5,296 |
$70K |
| 90461 |
|
3,771 |
3,533 |
$27K |
| 99401 |
|
4,550 |
4,436 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,639 |
850 |
$8K |
| 85013 |
|
5,394 |
5,277 |
$5K |
| 99188 |
|
989 |
962 |
$4K |
| 90677 |
|
28 |
28 |
$4K |
| 99463 |
|
61 |
57 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
996 |
963 |
$4K |
| 81003 |
|
4,657 |
4,570 |
$3K |
| 99460 |
|
29 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$2K |
| 90716 |
|
359 |
351 |
$1K |
| 90670 |
|
1,640 |
1,599 |
$562.42 |
| 99462 |
|
38 |
28 |
$280.61 |
| 90648 |
|
1,719 |
1,674 |
$120.03 |
| 90707 |
|
317 |
310 |
$94.90 |
| 90681 |
|
320 |
318 |
$10.00 |
| 99072 |
|
305 |
269 |
$0.00 |
| 90715 |
|
57 |
57 |
$0.00 |
| 90734 |
|
127 |
126 |
$0.00 |
| 90633 |
|
562 |
550 |
$0.00 |
| 81002 |
|
88 |
86 |
$0.00 |
| 90700 |
|
62 |
56 |
$0.00 |
| 85014 |
|
33 |
33 |
$0.00 |
| 90696 |
|
25 |
24 |
$0.00 |
| 90686 |
|
490 |
484 |
$0.00 |
| 90723 |
|
1,096 |
1,075 |
$0.00 |
| 81000 |
|
59 |
59 |
$0.00 |
| 90651 |
|
169 |
166 |
$0.00 |