| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,455 |
2,986 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
936 |
899 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
913 |
891 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
716 |
679 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
585 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
530 |
517 |
$33K |
| 92587 |
|
843 |
808 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
952 |
554 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
507 |
461 |
$13K |
| 90723 |
|
469 |
451 |
$12K |
| 92567 |
|
1,149 |
1,103 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
694 |
564 |
$10K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
68 |
25 |
$9K |
| 99173 |
|
747 |
710 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
476 |
439 |
$6K |
| 99051 |
|
565 |
522 |
$6K |
| 90707 |
|
308 |
300 |
$5K |
| 90686 |
|
881 |
854 |
$5K |
| 90670 |
|
646 |
626 |
$3K |
| 90647 |
|
468 |
448 |
$2K |
| 90696 |
|
91 |
89 |
$2K |
| 90716 |
|
322 |
316 |
$2K |
| 99050 |
|
339 |
300 |
$2K |
| 87807 |
|
149 |
111 |
$1K |
| 90633 |
|
227 |
216 |
$1K |
| 90715 |
|
64 |
64 |
$993.35 |
| 94014 |
|
32 |
30 |
$926.24 |
| 90649 |
|
178 |
176 |
$908.15 |
| 90734 |
|
164 |
161 |
$831.21 |
| 90681 |
|
154 |
150 |
$780.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
55 |
$710.36 |
| 99058 |
|
77 |
62 |
$708.66 |
| 90461 |
|
12 |
12 |
$398.33 |
| 94010 |
|
15 |
14 |
$296.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$166.46 |
| 90621 |
|
26 |
25 |
$126.51 |
| 94760 |
|
31 |
27 |
$75.30 |