| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,613 |
10,442 |
$390K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,766 |
2,735 |
$215K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,740 |
2,674 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,771 |
1,744 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,522 |
1,455 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,474 |
3,329 |
$98K |
| 90461 |
|
3,694 |
2,757 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,525 |
1,475 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
211 |
209 |
$12K |
| 99381 |
|
130 |
118 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
238 |
$5K |
| 99383 |
|
61 |
61 |
$5K |
| 99384 |
|
28 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
252 |
126 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$924.00 |
| 92567 |
|
73 |
70 |
$845.86 |
| 90734 |
|
215 |
211 |
$134.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
55 |
$119.68 |
| 87807 |
|
15 |
15 |
$66.00 |
| 90723 |
|
627 |
619 |
$0.00 |
| 90698 |
|
449 |
440 |
$0.00 |
| 90680 |
|
753 |
747 |
$0.00 |
| 90716 |
|
162 |
162 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90696 |
|
249 |
249 |
$0.00 |
| 90686 |
|
35 |
35 |
$0.00 |
| 90677 |
|
95 |
95 |
$0.00 |
| 90633 |
|
841 |
828 |
$0.00 |
| 90700 |
|
132 |
132 |
$0.00 |
| 90710 |
|
477 |
464 |
$0.00 |
| 90670 |
|
1,377 |
1,320 |
$0.00 |
| 90707 |
|
168 |
168 |
$0.00 |
| 90648 |
|
995 |
956 |
$0.00 |
| 90715 |
|
193 |
190 |
$0.00 |
| 90713 |
|
35 |
34 |
$0.00 |