| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,954 |
4,450 |
$355K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,469 |
1,371 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,121 |
987 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
895 |
836 |
$84K |
| 90686 |
|
2,015 |
1,902 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
207 |
$21K |
| 92551 |
|
1,998 |
1,822 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
157 |
$18K |
| 90670 |
|
691 |
642 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
395 |
382 |
$17K |
| 54150 |
|
40 |
38 |
$6K |
| 90723 |
|
261 |
258 |
$6K |
| 90647 |
|
296 |
277 |
$5K |
| 99173 |
|
1,908 |
1,739 |
$4K |
| 90685 |
|
204 |
202 |
$4K |
| 90633 |
|
247 |
227 |
$4K |
| 90716 |
|
165 |
154 |
$3K |
| 90707 |
|
161 |
149 |
$3K |
| 90697 |
|
187 |
150 |
$3K |
| 90671 |
|
104 |
90 |
$2K |
| 90681 |
|
82 |
78 |
$2K |
| 90656 |
|
79 |
74 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 0071A |
|
34 |
34 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
53 |
$1K |
| 90658 |
|
54 |
53 |
$907.75 |
| 90651 |
|
43 |
43 |
$834.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
33 |
$565.47 |
| 90461 |
|
12 |
12 |
$404.95 |
| 90688 |
|
17 |
17 |
$285.48 |
| 90672 |
|
14 |
13 |
$285.48 |
| 90734 |
|
18 |
14 |
$269.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$176.85 |
| 96160 |
|
31 |
29 |
$86.22 |
| 91307 |
|
96 |
88 |
$50.00 |
| 96161 |
|
12 |
12 |
$30.00 |
| 99070 |
|
40 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
103 |
$0.00 |
| 64450 |
|
40 |
38 |
$0.00 |