| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,628 |
17,915 |
$1.21M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,809 |
3,796 |
$285K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,476 |
3,320 |
$242K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,977 |
2,970 |
$221K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,533 |
1,526 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,476 |
8,393 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
176 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
164 |
159 |
$5K |
| 81002 |
|
2,583 |
2,577 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,034 |
1,014 |
$4K |
| 99441 |
|
158 |
147 |
$3K |
| 99442 |
|
13 |
13 |
$458.62 |
| 90688 |
|
346 |
345 |
$149.36 |
| 90686 |
|
283 |
283 |
$125.59 |
| 81000 |
|
15 |
14 |
$60.00 |
| 90656 |
|
28 |
28 |
$23.53 |
| 90698 |
|
694 |
692 |
$0.00 |
| 90744 |
|
117 |
116 |
$0.00 |
| 90696 |
|
121 |
120 |
$0.00 |
| 90680 |
|
289 |
289 |
$0.00 |
| 90677 |
|
95 |
95 |
$0.00 |
| 90619 |
|
53 |
53 |
$0.00 |
| 90670 |
|
1,304 |
1,297 |
$0.00 |
| 90710 |
|
402 |
401 |
$0.00 |
| 90633 |
|
96 |
95 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |