| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,177 |
5,446 |
$376K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,697 |
2,349 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,086 |
1,987 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,412 |
2,127 |
$183K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,498 |
5,660 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,395 |
2,962 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
261 |
248 |
$24K |
| 90474 |
|
191 |
135 |
$3K |
| 99383 |
|
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90670 |
|
976 |
824 |
$931.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$470.32 |
| 90686 |
|
1,720 |
1,477 |
$277.24 |
| 36416 |
|
91 |
84 |
$270.36 |
| 96380 |
|
17 |
15 |
$150.00 |
| 90723 |
|
661 |
577 |
$95.14 |
| 85018 |
|
41 |
38 |
$85.09 |
| 99173 |
|
57 |
54 |
$82.86 |
| 99177 |
|
18 |
17 |
$62.70 |
| 99174 |
|
12 |
12 |
$61.18 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$33.84 |
| 90647 |
|
666 |
589 |
$30.09 |
| 90656 |
|
132 |
119 |
$18.09 |
| 90633 |
|
137 |
132 |
$0.00 |
| 3078F |
|
98 |
92 |
$0.00 |
| 90681 |
|
220 |
162 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90677 |
|
226 |
219 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 3074F |
|
104 |
97 |
$0.00 |