| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,250 |
3,705 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,890 |
1,710 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
652 |
596 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
592 |
559 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,616 |
2,479 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
438 |
$40K |
| 90461 |
|
1,436 |
1,349 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,221 |
1,122 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
731 |
345 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 90670 |
|
516 |
478 |
$202.78 |
| 90620 |
|
55 |
55 |
$167.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$134.37 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
42 |
$100.33 |
| 81003 |
|
29 |
28 |
$74.24 |
| 90686 |
|
442 |
421 |
$42.59 |
| 90647 |
|
250 |
227 |
$31.33 |
| 90688 |
|
457 |
435 |
$15.39 |
| 90685 |
|
149 |
139 |
$0.00 |
| 90710 |
|
48 |
44 |
$0.00 |
| 90633 |
|
103 |
101 |
$0.00 |
| 90734 |
|
73 |
71 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90723 |
|
275 |
253 |
$0.00 |
| 90651 |
|
254 |
246 |
$0.00 |
| 90680 |
|
29 |
27 |
$0.00 |
| 90696 |
|
17 |
15 |
$0.00 |