| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,688 |
7,313 |
$342K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,975 |
3,908 |
$230K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,031 |
8,734 |
$223K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,440 |
3,376 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,211 |
3,145 |
$187K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,536 |
5,196 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,175 |
2,143 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,572 |
2,318 |
$128K |
| 90633 |
|
1,010 |
983 |
$14K |
| 90670 |
|
2,253 |
2,114 |
$6K |
| 90649 |
|
1,369 |
1,335 |
$5K |
| 90734 |
|
1,288 |
1,260 |
$5K |
| 90716 |
|
946 |
926 |
$4K |
| 90686 |
|
2,168 |
2,130 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
344 |
315 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
287 |
273 |
$2K |
| 90707 |
|
940 |
921 |
$2K |
| 90648 |
|
2,291 |
2,141 |
$2K |
| 99381 |
|
33 |
29 |
$2K |
| 90672 |
|
442 |
439 |
$1K |
| 90723 |
|
1,557 |
1,436 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$770.52 |
| 90715 |
|
323 |
313 |
$591.78 |
| 90700 |
|
1,033 |
1,014 |
$528.87 |
| 90680 |
|
968 |
898 |
$296.75 |
| 90713 |
|
393 |
387 |
$169.74 |
| 90461 |
|
2,311 |
2,179 |
$119.35 |
| 90685 |
|
82 |
77 |
$101.57 |
| 81025 |
|
13 |
12 |
$81.63 |
| 90688 |
|
49 |
49 |
$51.50 |
| 90657 |
|
42 |
42 |
$0.00 |
| 90621 |
|
399 |
390 |
$0.00 |
| 90658 |
|
238 |
238 |
$0.00 |