| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,557 |
14,323 |
$1.04M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,100 |
2,090 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,280 |
2,269 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,061 |
2,051 |
$161K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,058 |
6,624 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,219 |
1,191 |
$84K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,531 |
3,500 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,613 |
5,524 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,303 |
1,266 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,492 |
1,421 |
$23K |
| 87400 |
|
340 |
165 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
121 |
120 |
$4K |
| 99381 |
|
39 |
37 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
58 |
$2K |
| 86580 |
|
197 |
194 |
$1K |
| 90620 |
|
137 |
137 |
$955.06 |
| 96127 |
|
209 |
208 |
$568.40 |
| 81002 |
|
124 |
122 |
$339.36 |
| 90688 |
|
1,043 |
1,040 |
$139.22 |
| 90716 |
|
561 |
561 |
$0.00 |
| 90651 |
|
582 |
580 |
$0.00 |
| 90697 |
|
72 |
72 |
$0.00 |
| 90677 |
|
52 |
52 |
$0.00 |
| 90619 |
|
195 |
195 |
$0.00 |
| 83014 |
|
12 |
12 |
$0.00 |
| 90723 |
|
49 |
49 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90633 |
|
634 |
632 |
$0.00 |
| 90648 |
|
135 |
135 |
$0.00 |
| 90707 |
|
388 |
387 |
$0.00 |
| 90715 |
|
195 |
195 |
$0.00 |
| 90734 |
|
340 |
338 |
$0.00 |
| 90670 |
|
866 |
865 |
$0.00 |
| 90687 |
|
112 |
112 |
$0.00 |
| 90671 |
|
206 |
206 |
$0.00 |
| 90681 |
|
108 |
107 |
$0.00 |
| 90700 |
|
18 |
18 |
$0.00 |