| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,109 |
8,720 |
$447K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
699 |
672 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
319 |
$22K |
| 99215 |
Prolong outpt/office vis |
273 |
251 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
913 |
898 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
142 |
140 |
$9K |
| 99205 |
Prolong outpt/office vis |
92 |
92 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
101 |
$8K |
| 90686 |
|
694 |
690 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
360 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
34 |
$3K |
| 90461 |
|
40 |
39 |
$1K |
| 93000 |
|
66 |
64 |
$832.24 |
| 90746 |
|
12 |
12 |
$691.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
15 |
$323.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$160.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
19 |
$160.60 |
| 97802 |
|
583 |
582 |
$11.25 |