| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,030 |
10,020 |
$461K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,950 |
2,927 |
$61K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
499 |
461 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
779 |
720 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
454 |
451 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
407 |
405 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
404 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
287 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,108 |
1,093 |
$13K |
| 87428 |
|
181 |
175 |
$12K |
| 90461 |
|
418 |
416 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
140 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
135 |
129 |
$5K |
| 90686 |
|
519 |
494 |
$4K |
| 3008F |
|
1,735 |
1,720 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
222 |
$2K |
| 96127 |
|
817 |
807 |
$2K |
| 97802 |
|
1,320 |
1,306 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$1K |
| 0071A |
|
24 |
24 |
$960.00 |
| 0072A |
|
21 |
20 |
$840.00 |
| 90734 |
|
13 |
13 |
$811.99 |
| 0002A |
|
19 |
19 |
$694.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
25 |
$571.56 |
| 99177 |
|
32 |
32 |
$327.56 |
| 96160 |
|
287 |
283 |
$325.91 |
| 99173 |
|
538 |
526 |
$312.95 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
121 |
121 |
$159.04 |
| 90698 |
|
13 |
13 |
$103.68 |
| 96161 |
|
15 |
15 |
$20.72 |
| 91307 |
|
72 |
67 |
$13.00 |
| 99000 |
|
834 |
792 |
$7.36 |
| 91300 |
|
20 |
16 |
$7.00 |
| 99070 |
|
35 |
35 |
$0.00 |
| 99072 |
|
3,301 |
3,132 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |