| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,240 |
4,514 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,082 |
1,047 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
826 |
802 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
723 |
700 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
571 |
559 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
632 |
578 |
$15K |
| 92587 |
|
1,021 |
978 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,136 |
1,972 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,086 |
2,973 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
106 |
$9K |
| H2000 |
Comprehensive multidisciplinary evaluation |
13 |
12 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
186 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
167 |
$1K |
| 85018 |
|
1,060 |
1,017 |
$1K |
| H2010 |
Comprehensive medication services, per 15 minutes |
25 |
25 |
$915.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
60 |
$264.00 |
| 0072A |
|
14 |
12 |
$125.00 |
| 0051A |
|
21 |
18 |
$125.00 |
| 90670 |
|
318 |
308 |
$101.47 |
| 90473 |
|
72 |
68 |
$85.00 |
| 87807 |
|
13 |
13 |
$77.60 |
| 90686 |
|
908 |
876 |
$47.06 |
| 1126F |
|
1,292 |
1,143 |
$32.56 |
| 90674 |
|
40 |
40 |
$29.01 |
| 91307 |
|
85 |
76 |
$0.06 |
| 90656 |
|
142 |
138 |
$0.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
171 |
138 |
$0.01 |
| 1036F |
|
2,878 |
2,386 |
$0.00 |
| 3008F |
|
6,200 |
5,151 |
$0.00 |
| 3074F |
|
3,622 |
3,226 |
$0.00 |
| 90723 |
|
260 |
248 |
$0.00 |
| 99174 |
|
132 |
115 |
$0.00 |
| 91305 |
|
33 |
30 |
$0.00 |
| 90651 |
|
121 |
119 |
$0.00 |
| 90677 |
|
97 |
95 |
$0.00 |
| 90620 |
|
17 |
17 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90648 |
|
535 |
518 |
$0.00 |
| 3725F |
|
1,012 |
886 |
$0.00 |
| 90633 |
|
248 |
239 |
$0.00 |
| 3078F |
|
3,514 |
2,997 |
$0.00 |
| 1160F |
|
2,611 |
2,220 |
$0.00 |
| 90681 |
|
67 |
63 |
$0.00 |
| 90734 |
|
78 |
77 |
$0.00 |
| 91321 |
|
17 |
13 |
$0.00 |
| 90671 |
|
87 |
80 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |