| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,287 |
2,884 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
561 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
274 |
269 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
120 |
$11K |
| 97802 |
|
1,156 |
1,123 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,192 |
1,145 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
113 |
$747.18 |
| 81003 |
|
472 |
457 |
$497.59 |
| 85013 |
|
391 |
376 |
$481.49 |
| 85018 |
|
932 |
912 |
$448.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
121 |
$447.84 |
| 0071A |
|
14 |
12 |
$344.80 |
| 90686 |
|
123 |
119 |
$262.03 |
| 81002 |
|
1,067 |
951 |
$236.92 |
| 90688 |
|
68 |
53 |
$202.86 |
| 90461 |
|
66 |
65 |
$200.00 |
| 99173 |
|
1,278 |
1,222 |
$39.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
76 |
$0.00 |
| 99072 |
|
28 |
28 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
122 |
121 |
$0.00 |
| 3008F |
|
106 |
95 |
$0.00 |