| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,065 |
7,570 |
$441K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,046 |
1,023 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,346 |
2,058 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
771 |
749 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
391 |
375 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
389 |
381 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
405 |
333 |
$20K |
| 99215 |
Prolong outpt/office vis |
221 |
168 |
$16K |
| 97802 |
|
1,355 |
1,326 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,388 |
3,267 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
597 |
593 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,511 |
1,437 |
$6K |
| 90670 |
|
162 |
162 |
$5K |
| 90658 |
|
1,038 |
1,011 |
$2K |
| 86580 |
|
526 |
506 |
$906.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
75 |
$190.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
352 |
$155.33 |
| 90633 |
|
12 |
12 |
$80.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
120 |
$52.13 |
| 90657 |
|
61 |
60 |
$44.01 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,397 |
1,256 |
$37.50 |
| 90648 |
|
219 |
215 |
$20.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
41 |
$12.15 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90461 |
|
52 |
35 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90723 |
|
52 |
52 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |