| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,932 |
2,374 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,013 |
810 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
397 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
423 |
367 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
252 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,185 |
1,040 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
154 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
486 |
418 |
$10K |
| 92551 |
|
1,037 |
903 |
$9K |
| 90651 |
|
152 |
138 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
275 |
207 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
50 |
$4K |
| 90670 |
|
279 |
226 |
$4K |
| 99173 |
|
1,028 |
898 |
$2K |
| 90734 |
|
86 |
75 |
$2K |
| 90658 |
|
151 |
125 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90680 |
|
106 |
90 |
$1K |
| 90707 |
|
70 |
62 |
$886.73 |
| 90686 |
|
81 |
72 |
$820.62 |
| 99381 |
|
19 |
12 |
$811.04 |
| 90633 |
|
60 |
55 |
$684.17 |
| 90716 |
|
56 |
49 |
$668.05 |
| 90715 |
|
47 |
43 |
$642.89 |
| 90700 |
|
43 |
38 |
$403.82 |
| 90698 |
|
49 |
38 |
$394.85 |
| 90647 |
|
37 |
32 |
$329.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
602 |
516 |
$312.60 |
| 86580 |
|
35 |
32 |
$203.00 |
| 94664 |
|
12 |
12 |
$179.45 |
| 90713 |
|
21 |
16 |
$163.82 |
| 90461 |
|
400 |
321 |
$140.70 |
| 90744 |
|
15 |
13 |
$134.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
628 |
501 |
$128.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
143 |
120 |
$68.00 |