| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,897 |
4,502 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,049 |
1,982 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,949 |
1,762 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,755 |
1,745 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,476 |
1,467 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,683 |
5,497 |
$126K |
| 90461 |
|
2,736 |
2,697 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
872 |
866 |
$92K |
| S9999 |
Sales tax |
910 |
785 |
$6K |
| 99381 |
|
47 |
41 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
239 |
$4K |
| 87430 |
|
35 |
34 |
$561.82 |
| 90670 |
|
1,156 |
1,143 |
$446.94 |
| 90680 |
|
435 |
428 |
$181.73 |
| 90734 |
|
240 |
235 |
$86.25 |
| 90649 |
|
212 |
208 |
$81.00 |
| 90647 |
|
506 |
501 |
$24.98 |
| 90723 |
|
85 |
84 |
$16.67 |
| 90686 |
|
1,649 |
1,629 |
$9.45 |
| 90685 |
|
545 |
536 |
$4.94 |
| 90633 |
|
165 |
162 |
$0.79 |
| 90715 |
|
37 |
37 |
$0.27 |
| 90698 |
|
29 |
28 |
$0.26 |