| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,390 |
12,592 |
$863K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,704 |
3,849 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,314 |
1,586 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,566 |
1,012 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,911 |
4,791 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
743 |
558 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
412 |
317 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,030 |
1,031 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,558 |
1,460 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,630 |
1,742 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
161 |
$5K |
| 90686 |
|
1,416 |
1,075 |
$662.23 |
| 87807 |
|
205 |
83 |
$637.32 |
| 83655 |
|
211 |
160 |
$358.79 |
| 90685 |
|
266 |
168 |
$226.79 |
| 90670 |
|
579 |
393 |
$216.33 |
| 90648 |
|
431 |
303 |
$120.05 |
| 85018 |
|
194 |
144 |
$79.53 |
| 90633 |
|
141 |
98 |
$58.02 |
| 90651 |
|
65 |
59 |
$10.00 |
| 90734 |
|
39 |
38 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 92552 |
|
248 |
230 |
$0.00 |
| 81003 |
|
60 |
57 |
$0.00 |
| 90707 |
|
55 |
53 |
$0.00 |
| 97802 |
|
199 |
198 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
235 |
194 |
$0.00 |
| 90723 |
|
124 |
78 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$0.00 |
| 90716 |
|
54 |
52 |
$0.00 |
| 96127 |
|
27 |
27 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |