| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,181 |
5,638 |
$363K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,494 |
2,134 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,402 |
1,203 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,335 |
1,320 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
491 |
485 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,532 |
5,441 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,904 |
2,862 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
183 |
$3K |
| 90474 |
|
468 |
454 |
$2K |
| 90686 |
|
1,316 |
1,303 |
$1K |
| 90698 |
|
1,242 |
1,221 |
$1K |
| 90677 |
|
234 |
220 |
$596.08 |
| 90670 |
|
978 |
969 |
$358.44 |
| 36416 |
|
325 |
279 |
$357.53 |
| 99051 |
|
40 |
36 |
$337.42 |
| 81002 |
|
365 |
353 |
$258.69 |
| 90656 |
|
118 |
117 |
$183.32 |
| 90680 |
|
467 |
453 |
$157.76 |
| 96127 |
|
116 |
116 |
$153.12 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
38 |
$114.52 |
| 90633 |
|
132 |
127 |
$0.02 |
| 90685 |
|
75 |
74 |
$0.00 |
| 90744 |
|
143 |
139 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |