| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,369 |
8,344 |
$586K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,501 |
3,343 |
$348K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,888 |
1,872 |
$168K |
| 92551 |
|
3,431 |
3,399 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,708 |
1,701 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,250 |
1,247 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,295 |
1,266 |
$113K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,957 |
2,787 |
$97K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,028 |
1,929 |
$57K |
| 90697 |
|
703 |
689 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,039 |
996 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
245 |
240 |
$13K |
| 90710 |
|
372 |
372 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
55 |
30 |
$11K |
| 90696 |
|
246 |
246 |
$8K |
| 90686 |
|
933 |
932 |
$8K |
| 90698 |
|
262 |
262 |
$7K |
| 90670 |
|
1,003 |
1,002 |
$7K |
| 92015 |
Determination of refractive state |
1,077 |
1,056 |
$7K |
| 90633 |
|
865 |
864 |
$6K |
| 90688 |
|
647 |
640 |
$5K |
| 90715 |
|
198 |
198 |
$5K |
| 90680 |
|
566 |
565 |
$4K |
| 90651 |
|
492 |
492 |
$4K |
| 87807 |
|
312 |
301 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
113 |
112 |
$3K |
| 90619 |
|
299 |
297 |
$3K |
| 90677 |
|
236 |
232 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
93 |
$2K |
| 90621 |
|
146 |
146 |
$1K |
| 90744 |
|
173 |
173 |
$964.78 |
| 90700 |
|
37 |
37 |
$929.28 |
| 90707 |
|
37 |
37 |
$881.54 |
| 90461 |
|
37 |
36 |
$687.20 |
| 90734 |
|
96 |
95 |
$539.25 |
| 90716 |
|
39 |
39 |
$307.24 |