| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,804 |
5,888 |
$607K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,579 |
1,450 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,537 |
1,336 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,435 |
1,300 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,403 |
1,264 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
407 |
344 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
555 |
503 |
$34K |
| 90670 |
|
1,160 |
1,079 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,323 |
1,208 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,909 |
1,657 |
$23K |
| 90620 |
|
886 |
821 |
$21K |
| 90686 |
|
1,039 |
997 |
$19K |
| 90651 |
|
438 |
406 |
$16K |
| 90680 |
|
826 |
769 |
$16K |
| 92551 |
|
1,998 |
1,826 |
$16K |
| 90716 |
|
538 |
501 |
$14K |
| 90698 |
|
686 |
636 |
$13K |
| 90744 |
|
677 |
630 |
$12K |
| 90707 |
|
544 |
508 |
$12K |
| 90633 |
|
609 |
578 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
429 |
415 |
$11K |
| 90685 |
|
556 |
528 |
$10K |
| 90700 |
|
514 |
482 |
$10K |
| 99173 |
|
2,044 |
1,861 |
$9K |
| 81002 |
|
2,071 |
1,882 |
$5K |
| 90647 |
|
202 |
187 |
$4K |
| 90723 |
|
177 |
164 |
$3K |
| 90734 |
|
117 |
113 |
$3K |
| 90713 |
|
137 |
121 |
$2K |
| 90648 |
|
121 |
109 |
$2K |
| 90715 |
|
50 |
45 |
$840.64 |
| 90461 |
|
12 |
12 |
$743.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$715.50 |
| 86580 |
|
76 |
69 |
$413.15 |
| 90656 |
|
18 |
18 |
$402.30 |
| 84030 |
|
47 |
44 |
$0.00 |