| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,004 |
6,332 |
$554K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,605 |
7,606 |
$473K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,367 |
1,298 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,125 |
1,073 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
549 |
523 |
$40K |
| 92551 |
|
1,344 |
1,291 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,035 |
908 |
$12K |
| 90670 |
|
629 |
618 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
116 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
602 |
289 |
$7K |
| 90688 |
|
599 |
583 |
$7K |
| 90698 |
|
450 |
438 |
$7K |
| 99000 |
|
3,039 |
2,647 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
150 |
140 |
$5K |
| 99177 |
|
1,145 |
1,103 |
$4K |
| 90671 |
|
175 |
163 |
$3K |
| 90687 |
|
301 |
288 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
429 |
405 |
$3K |
| 99070 |
|
480 |
461 |
$3K |
| 90680 |
|
194 |
189 |
$2K |
| 90697 |
|
146 |
140 |
$2K |
| 90633 |
|
109 |
99 |
$1K |
| 90710 |
|
54 |
48 |
$1K |
| 90686 |
|
110 |
110 |
$1K |
| 90619 |
|
20 |
16 |
$820.60 |
| 90658 |
|
49 |
49 |
$553.39 |
| 90657 |
|
48 |
48 |
$525.12 |
| 90651 |
|
27 |
25 |
$513.17 |
| 0011A |
|
13 |
12 |
$480.00 |
| 90744 |
|
42 |
36 |
$435.22 |
| 96127 |
|
75 |
71 |
$357.17 |
| 90685 |
|
29 |
29 |
$324.22 |
| 99173 |
|
92 |
88 |
$212.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
24 |
$212.30 |
| 99072 |
|
1,530 |
1,340 |
$202.60 |
| 90715 |
|
17 |
13 |
$143.00 |
| 99174 |
|
19 |
19 |
$74.55 |
| 36416 |
|
38 |
38 |
$26.15 |