| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,437 |
29,157 |
$1.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,640 |
7,368 |
$685K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,809 |
13,753 |
$572K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,438 |
5,426 |
$488K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,160 |
4,129 |
$334K |
| 90461 |
|
6,389 |
6,367 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,133 |
2,129 |
$189K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,420 |
1,411 |
$57K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
431 |
427 |
$48K |
| 87400 |
|
2,201 |
1,100 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,064 |
1,045 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
127 |
$12K |
| 36416 |
|
2,235 |
2,151 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
365 |
365 |
$6K |
| 94760 |
|
2,966 |
2,894 |
$6K |
| 96127 |
|
1,139 |
682 |
$4K |
| 99381 |
|
25 |
25 |
$3K |
| 87807 |
|
198 |
198 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
61 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
60 |
$2K |
| 99173 |
|
47 |
47 |
$656.21 |
| 83655 |
|
51 |
50 |
$637.77 |
| 92015 |
Determination of refractive state |
24 |
24 |
$427.19 |
| 90686 |
|
3,297 |
3,291 |
$205.53 |
| 85018 |
|
64 |
64 |
$153.83 |
| 81002 |
|
12 |
12 |
$37.56 |
| 99177 |
|
16 |
16 |
$36.82 |
| 90670 |
|
1,603 |
1,596 |
$14.97 |
| 90723 |
|
419 |
418 |
$10.32 |
| 90633 |
|
87 |
86 |
$5.92 |
| 90647 |
|
386 |
385 |
$3.85 |
| 90672 |
|
186 |
185 |
$0.16 |
| 90680 |
|
384 |
383 |
$0.01 |
| 90671 |
|
76 |
76 |
$0.00 |
| 90697 |
|
76 |
76 |
$0.00 |
| 90660 |
|
18 |
18 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |