| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,507 |
16,793 |
$1.81M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,840 |
2,835 |
$286K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,973 |
2,904 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,528 |
1,527 |
$145K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,881 |
7,749 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,098 |
1,097 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
927 |
848 |
$40K |
| 97802 |
|
3,978 |
3,918 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
307 |
300 |
$28K |
| 99050 |
|
3,531 |
3,313 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,295 |
3,104 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,211 |
628 |
$18K |
| 87081 |
|
3,382 |
3,157 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
480 |
422 |
$16K |
| 99381 |
|
178 |
170 |
$15K |
| 87428 |
|
151 |
147 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
92 |
$9K |
| 90461 |
|
2,296 |
2,264 |
$3K |
| 90671 |
|
630 |
627 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90686 |
|
1,335 |
1,314 |
$964.66 |
| 90734 |
|
107 |
107 |
$780.87 |
| 96380 |
|
17 |
17 |
$384.35 |
| 90697 |
|
360 |
354 |
$180.12 |
| 90707 |
|
37 |
37 |
$107.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$107.24 |
| 90633 |
|
192 |
192 |
$0.00 |
| 90670 |
|
956 |
942 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| 90744 |
|
148 |
142 |
$0.00 |
| 90680 |
|
1,018 |
1,005 |
$0.00 |
| 90698 |
|
995 |
987 |
$0.00 |
| 90696 |
|
46 |
46 |
$0.00 |
| 90716 |
|
48 |
48 |
$0.00 |
| 99000 |
|
32 |
31 |
$0.00 |