| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,624 |
12,199 |
$1.21M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
996 |
995 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
886 |
884 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
687 |
683 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
546 |
540 |
$52K |
| 92081 |
|
1,200 |
1,199 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,337 |
3,290 |
$43K |
| 92587 |
|
1,929 |
1,924 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
146 |
$19K |
| 85014 |
|
2,583 |
2,579 |
$6K |
| 99460 |
|
74 |
74 |
$6K |
| 81000 |
|
1,371 |
1,359 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
67 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
247 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
159 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
83 |
$3K |
| 99462 |
|
76 |
59 |
$3K |
| 99442 |
|
17 |
17 |
$1K |
| 83655 |
|
101 |
101 |
$1K |
| 0072A |
|
14 |
14 |
$619.64 |
| 90686 |
|
816 |
816 |
$436.03 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
162 |
133 |
$295.44 |
| 96127 |
|
27 |
27 |
$120.96 |
| 90715 |
|
24 |
24 |
$99.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$75.00 |
| 90670 |
|
621 |
618 |
$0.00 |
| 90461 |
|
839 |
836 |
$0.00 |
| 90734 |
|
51 |
51 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90671 |
|
24 |
24 |
$0.00 |
| 90647 |
|
260 |
257 |
$0.00 |
| 90677 |
|
28 |
27 |
$0.00 |
| 90723 |
|
38 |
38 |
$0.00 |
| 90651 |
|
72 |
72 |
$0.00 |
| 90620 |
|
39 |
39 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |