| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,884 |
8,294 |
$366K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,177 |
1,170 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,815 |
1,712 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,123 |
1,119 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
569 |
563 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,287 |
3,111 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,944 |
3,827 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,672 |
1,630 |
$36K |
| 87428 |
|
401 |
388 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
328 |
292 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,015 |
487 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
347 |
337 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
180 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$677.16 |
| 90686 |
|
1,423 |
1,392 |
$551.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$325.52 |
| 90670 |
|
170 |
170 |
$94.50 |
| 90658 |
|
282 |
282 |
$36.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
57 |
$9.00 |
| 90649 |
|
31 |
31 |
$0.00 |
| 90707 |
|
33 |
33 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90700 |
|
88 |
87 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90734 |
|
75 |
75 |
$0.00 |
| 90715 |
|
38 |
36 |
$0.00 |
| 90698 |
|
123 |
109 |
$0.00 |
| 90651 |
|
144 |
143 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90716 |
|
34 |
34 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90677 |
|
59 |
44 |
$0.00 |