| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,871 |
11,010 |
$788K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,984 |
1,853 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,946 |
1,811 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,488 |
1,342 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,432 |
1,320 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,028 |
963 |
$92K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,646 |
2,588 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,960 |
5,538 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,478 |
3,195 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,348 |
944 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
895 |
845 |
$31K |
| 81002 |
|
3,422 |
3,158 |
$10K |
| 90474 |
|
572 |
516 |
$6K |
| 99173 |
|
3,781 |
3,508 |
$6K |
| 99460 |
|
87 |
79 |
$6K |
| 90473 |
|
277 |
253 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
61 |
$3K |
| 99462 |
|
33 |
26 |
$952.60 |
| 87807 |
|
101 |
91 |
$859.34 |
| 90686 |
|
2,792 |
2,632 |
$624.76 |
| 90651 |
|
208 |
196 |
$310.10 |
| 0001A |
|
137 |
135 |
$300.00 |
| 90700 |
|
1,530 |
1,405 |
$203.58 |
| 90716 |
|
258 |
246 |
$191.33 |
| 90713 |
|
1,159 |
1,065 |
$163.76 |
| 90707 |
|
242 |
212 |
$144.26 |
| 90688 |
|
167 |
167 |
$130.00 |
| 0002A |
|
123 |
122 |
$120.00 |
| 90648 |
|
1,007 |
933 |
$120.00 |
| 90670 |
|
957 |
881 |
$120.00 |
| 90633 |
|
408 |
384 |
$100.00 |
| 90680 |
|
512 |
458 |
$50.00 |
| 90744 |
|
184 |
168 |
$34.12 |
| 90658 |
|
48 |
45 |
$20.00 |
| 90734 |
|
84 |
80 |
$20.00 |
| 91322 |
|
35 |
32 |
$15.00 |
| 91300 |
|
557 |
537 |
$0.00 |
| 0003A |
|
128 |
124 |
$0.00 |
| 90655 |
|
31 |
30 |
$0.00 |
| 90672 |
|
392 |
361 |
$0.00 |
| 91321 |
|
45 |
39 |
$0.00 |
| 90480 |
|
114 |
100 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |