| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
3,757 |
3,743 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,354 |
4,103 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,489 |
1,481 |
$89K |
| 97802 |
|
3,610 |
3,599 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,640 |
1,634 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
769 |
763 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
696 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
538 |
538 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,823 |
1,756 |
$20K |
| 92552 |
|
1,637 |
1,634 |
$19K |
| 90686 |
|
2,244 |
2,238 |
$18K |
| 96151 |
|
255 |
255 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$3K |
| 92551 |
|
263 |
263 |
$3K |
| 90734 |
|
316 |
314 |
$3K |
| 90620 |
|
256 |
256 |
$2K |
| 99173 |
|
470 |
456 |
$2K |
| 0071A |
|
46 |
46 |
$2K |
| 90651 |
|
250 |
248 |
$2K |
| 0072A |
|
35 |
35 |
$1K |
| 99383 |
|
13 |
13 |
$919.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
193 |
$878.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$811.33 |
| 90658 |
|
57 |
57 |
$513.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
13 |
$494.62 |
| 90715 |
|
42 |
40 |
$333.00 |
| 90649 |
|
32 |
32 |
$261.00 |
| 96150 |
|
14 |
14 |
$252.42 |
| 90633 |
|
26 |
26 |
$234.00 |
| 90716 |
|
25 |
25 |
$225.00 |
| 90688 |
|
20 |
20 |
$180.00 |
| 90670 |
|
12 |
12 |
$108.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$90.87 |
| 86580 |
|
12 |
12 |
$85.93 |