| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,153 |
1,928 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
747 |
681 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
573 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
228 |
$24K |
| 87428 |
|
282 |
261 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
227 |
224 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
332 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
969 |
933 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
492 |
474 |
$7K |
| 90461 |
|
186 |
185 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
341 |
327 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
34 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
149 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90473 |
|
116 |
112 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$778.86 |
| 99051 |
|
14 |
13 |
$284.47 |
| 96127 |
|
40 |
40 |
$98.50 |
| 88720 |
|
22 |
12 |
$56.51 |
| 90686 |
|
12 |
12 |
$0.55 |