| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,948 |
10,795 |
$543K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,948 |
3,429 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,247 |
1,101 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
843 |
670 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
620 |
536 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
682 |
583 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
344 |
307 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,120 |
1,812 |
$22K |
| 99219 |
|
250 |
174 |
$11K |
| 90461 |
|
1,188 |
1,027 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
290 |
235 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
678 |
270 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$2K |
| 90686 |
|
1,417 |
1,233 |
$618.47 |
| 87400 |
|
56 |
26 |
$426.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$361.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$344.96 |
| 90716 |
|
48 |
41 |
$244.04 |
| 90734 |
|
64 |
63 |
$225.86 |
| 90670 |
|
579 |
512 |
$200.00 |
| 90651 |
|
47 |
41 |
$177.70 |
| 90633 |
|
353 |
302 |
$150.12 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
18 |
$124.80 |
| 90707 |
|
45 |
38 |
$70.92 |
| 90685 |
|
44 |
44 |
$21.81 |
| 90648 |
|
608 |
535 |
$0.00 |
| 90649 |
|
19 |
12 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90723 |
|
255 |
214 |
$0.00 |
| 90680 |
|
141 |
123 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |