| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,735 |
7,873 |
$468K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,237 |
2,950 |
$246K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,831 |
2,459 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,988 |
1,827 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,588 |
1,468 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
271 |
$25K |
| 90670 |
|
1,895 |
1,718 |
$21K |
| 90686 |
|
1,669 |
1,526 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,074 |
995 |
$16K |
| 90680 |
|
1,252 |
1,135 |
$12K |
| 90723 |
|
1,298 |
1,184 |
$11K |
| 90647 |
|
1,299 |
1,171 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
324 |
$10K |
| 90633 |
|
969 |
859 |
$9K |
| 87428 |
|
138 |
124 |
$9K |
| 90677 |
|
251 |
234 |
$6K |
| 83655 |
|
452 |
378 |
$5K |
| 90710 |
|
335 |
302 |
$4K |
| 90697 |
|
180 |
156 |
$3K |
| 90656 |
|
154 |
154 |
$2K |
| 99381 |
|
26 |
25 |
$2K |
| 90651 |
|
118 |
106 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
51 |
$2K |
| 90700 |
|
169 |
161 |
$1K |
| 85018 |
|
520 |
450 |
$1K |
| 0072A |
|
20 |
20 |
$870.23 |
| 0071A |
|
18 |
16 |
$781.73 |
| 90696 |
|
86 |
80 |
$766.35 |
| 99460 |
|
14 |
13 |
$542.50 |
| 87807 |
|
53 |
51 |
$525.62 |
| 90734 |
|
28 |
28 |
$472.08 |
| 90685 |
|
45 |
43 |
$351.60 |
| 90707 |
|
30 |
28 |
$319.68 |
| 90716 |
|
30 |
28 |
$319.68 |
| 90715 |
|
12 |
12 |
$200.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,653 |
1,440 |
$73.25 |
| 90461 |
|
752 |
660 |
$30.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$0.00 |