| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,764 |
15,346 |
$658K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,815 |
4,573 |
$363K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,946 |
3,760 |
$328K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,337 |
2,936 |
$257K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,228 |
3,031 |
$242K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,575 |
5,290 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,287 |
2,145 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,022 |
7,615 |
$28K |
| 90670 |
|
1,881 |
1,746 |
$24K |
| 99381 |
|
219 |
167 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,175 |
1,444 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,200 |
2,018 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
142 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
575 |
553 |
$6K |
| 90716 |
|
1,080 |
1,019 |
$4K |
| 99382 |
|
26 |
26 |
$2K |
| 99383 |
|
25 |
25 |
$2K |
| 0002A |
|
52 |
52 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
25 |
$2K |
| 90619 |
|
72 |
62 |
$1K |
| 0001A |
|
48 |
48 |
$1K |
| 0072A |
|
41 |
35 |
$1K |
| 90686 |
|
799 |
779 |
$573.10 |
| 90715 |
|
247 |
220 |
$455.29 |
| 0071A |
|
42 |
32 |
$440.00 |
| 90633 |
|
933 |
896 |
$310.00 |
| 90656 |
|
70 |
70 |
$259.41 |
| 90700 |
|
2,818 |
2,639 |
$221.95 |
| 90713 |
|
2,282 |
2,140 |
$213.16 |
| 90680 |
|
1,235 |
1,158 |
$175.00 |
| 90707 |
|
1,074 |
1,015 |
$153.41 |
| 90651 |
|
527 |
466 |
$110.00 |
| 90648 |
|
2,081 |
1,936 |
$24.22 |
| 90677 |
|
171 |
171 |
$0.00 |
| 90744 |
|
1,022 |
949 |
$0.00 |
| 91307 |
|
105 |
78 |
$0.00 |
| 96127 |
|
17 |
17 |
$0.00 |
| 91300 |
|
147 |
142 |
$0.00 |
| 90734 |
|
147 |
147 |
$0.00 |
| 90685 |
|
176 |
173 |
$0.00 |