| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,738 |
10,039 |
$963K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,273 |
2,903 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,777 |
2,726 |
$238K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,432 |
1,405 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
486 |
467 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
264 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
179 |
170 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,768 |
3,659 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,669 |
3,591 |
$2K |
| 90473 |
|
910 |
892 |
$1K |
| 90686 |
|
1,089 |
1,074 |
$1K |
| 92567 |
|
435 |
419 |
$372.12 |
| 90723 |
|
1,686 |
1,657 |
$347.62 |
| 99188 |
|
119 |
119 |
$310.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
84 |
80 |
$261.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
68 |
$220.25 |
| 90633 |
|
1,059 |
1,039 |
$85.97 |
| 81002 |
|
14 |
12 |
$15.05 |
| 90648 |
|
2,221 |
2,184 |
$0.00 |
| 90734 |
|
66 |
65 |
$0.00 |
| 90670 |
|
2,181 |
2,142 |
$0.00 |
| 90681 |
|
947 |
928 |
$0.00 |
| 90707 |
|
139 |
139 |
$0.00 |
| 90710 |
|
77 |
73 |
$0.00 |
| 90700 |
|
111 |
110 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90677 |
|
129 |
126 |
$0.00 |
| 90651 |
|
99 |
97 |
$0.00 |
| 90716 |
|
153 |
153 |
$0.00 |
| 36416 |
|
28 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
79 |
$0.00 |
| 90696 |
|
101 |
97 |
$0.00 |