| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,026 |
12,123 |
$1.22M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,692 |
1,570 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,265 |
1,236 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,226 |
1,213 |
$151K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
641 |
628 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,586 |
4,671 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,599 |
4,405 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
402 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,880 |
3,598 |
$14K |
| 90461 |
|
2,800 |
1,667 |
$5K |
| 90686 |
|
1,311 |
1,286 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$1K |
| 90670 |
|
731 |
711 |
$756.94 |
| 90685 |
|
97 |
95 |
$728.27 |
| 90651 |
|
449 |
445 |
$662.87 |
| 90633 |
|
350 |
335 |
$312.08 |
| 90716 |
|
281 |
265 |
$166.48 |
| 90734 |
|
287 |
284 |
$106.03 |
| 90707 |
|
141 |
137 |
$82.49 |
| 90620 |
|
115 |
113 |
$82.03 |
| 90723 |
|
39 |
37 |
$80.01 |
| 90648 |
|
120 |
118 |
$10.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
326 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90681 |
|
50 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
41 |
$0.00 |
| 90715 |
|
53 |
53 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |