| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,367 |
17,390 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,806 |
4,945 |
$492K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,807 |
4,391 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,303 |
1,182 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
448 |
427 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
426 |
379 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,275 |
1,171 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
273 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
125 |
105 |
$10K |
| 90686 |
|
1,883 |
1,759 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
183 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
152 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
48 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
38 |
$2K |
| 90682 |
|
41 |
37 |
$2K |
| 87428 |
|
41 |
38 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
222 |
196 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
83 |
$1K |
| 90480 |
|
52 |
30 |
$554.50 |
| 90715 |
|
18 |
15 |
$271.23 |
| 81003 |
|
63 |
60 |
$103.57 |
| 85018 |
|
12 |
12 |
$29.64 |
| 90656 |
|
14 |
13 |
$17.57 |
| 90670 |
|
32 |
26 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90651 |
|
31 |
28 |
$0.00 |