| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,862 |
1,706 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
320 |
298 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
347 |
330 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
677 |
607 |
$26K |
| 87428 |
|
207 |
196 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
224 |
217 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
41 |
$5K |
| 99401 |
|
885 |
835 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
26 |
$772.69 |
| 99188 |
|
274 |
248 |
$486.19 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,078 |
1,018 |
$475.82 |
| 90670 |
|
98 |
86 |
$108.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
93 |
$19.86 |
| 81002 |
|
624 |
596 |
$4.18 |
| 90698 |
|
85 |
73 |
$0.00 |
| 90651 |
|
102 |
97 |
$0.00 |
| 90686 |
|
302 |
287 |
$0.00 |
| 97802 |
|
209 |
196 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90633 |
|
33 |
30 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
36 |
$0.00 |