| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,867 |
7,016 |
$235K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,937 |
2,886 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,208 |
1,155 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
883 |
873 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
956 |
902 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,008 |
997 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
697 |
684 |
$41K |
| 99383 |
|
92 |
92 |
$7K |
| 99382 |
|
63 |
63 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
205 |
$3K |
| 99384 |
|
42 |
42 |
$3K |
| 99381 |
|
45 |
40 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,743 |
1,715 |
$3K |
| 96127 |
|
116 |
113 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$959.72 |
| 83655 |
|
13 |
13 |
$624.20 |
| 99188 |
|
14 |
14 |
$450.21 |
| 36416 |
|
12 |
12 |
$314.76 |
| 99173 |
|
2,312 |
2,271 |
$219.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
80 |
$95.02 |
| 90461 |
|
67 |
67 |
$48.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
97 |
$19.86 |
| 90686 |
|
783 |
770 |
$9.00 |
| 90696 |
|
46 |
46 |
$0.00 |
| 90723 |
|
542 |
525 |
$0.00 |
| 90651 |
|
281 |
280 |
$0.00 |
| 90647 |
|
587 |
571 |
$0.00 |
| 90688 |
|
40 |
39 |
$0.00 |
| 90620 |
|
44 |
44 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90633 |
|
521 |
513 |
$0.00 |
| 90734 |
|
194 |
192 |
$0.00 |
| 90681 |
|
263 |
257 |
$0.00 |
| 90715 |
|
70 |
69 |
$0.00 |
| 90710 |
|
149 |
145 |
$0.00 |
| 90670 |
|
792 |
771 |
$0.00 |
| 90700 |
|
45 |
43 |
$0.00 |
| 99080 |
|
113 |
110 |
$0.00 |
| 90648 |
|
110 |
110 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |