| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,355 |
9,229 |
$596K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,098 |
1,949 |
$237K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,034 |
2,006 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
824 |
806 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,119 |
1,041 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,805 |
1,724 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,354 |
2,281 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
241 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
95 |
90 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
24 |
$2K |
| 90461 |
|
242 |
240 |
$2K |
| 87428 |
|
21 |
21 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
63 |
$1K |
| 92552 |
|
72 |
71 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
62 |
$1K |
| 0071A |
|
12 |
12 |
$480.00 |
| 99173 |
|
94 |
91 |
$192.09 |
| 90656 |
|
157 |
155 |
$111.15 |
| 90686 |
|
790 |
768 |
$98.15 |
| 90688 |
|
153 |
152 |
$0.00 |
| 91307 |
|
47 |
47 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |