| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,957 |
4,408 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,248 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
746 |
624 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
535 |
477 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
282 |
261 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,078 |
987 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
181 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
320 |
83 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
81 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
87 |
$1K |
| 90670 |
|
240 |
195 |
$378.51 |
| 90651 |
|
28 |
26 |
$214.55 |
| T1015 |
Clinic visit/encounter, all-inclusive |
252 |
229 |
$154.94 |
| 90734 |
|
14 |
14 |
$102.61 |
| 90686 |
|
193 |
159 |
$69.59 |
| 99173 |
|
20 |
16 |
$30.40 |
| 90648 |
|
265 |
218 |
$22.71 |
| 90723 |
|
87 |
69 |
$0.66 |
| 90680 |
|
67 |
51 |
$0.50 |
| 90633 |
|
16 |
16 |
$0.11 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,912 |
1,467 |
$0.00 |
| 90461 |
|
1,069 |
885 |
$0.00 |