| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,703 |
27,395 |
$1.20M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,421 |
3,374 |
$257K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,309 |
3,234 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,638 |
2,594 |
$201K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,533 |
2,471 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,247 |
7,076 |
$107K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,892 |
2,832 |
$32K |
| 90744 |
|
877 |
852 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
786 |
764 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
251 |
$14K |
| 90707 |
|
767 |
746 |
$13K |
| 90698 |
|
1,382 |
1,348 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,505 |
1,116 |
$8K |
| 90670 |
|
1,367 |
1,331 |
$8K |
| 90686 |
|
1,795 |
1,751 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,469 |
1,407 |
$4K |
| 90734 |
|
630 |
614 |
$4K |
| 99381 |
|
76 |
64 |
$4K |
| 90633 |
|
831 |
813 |
$3K |
| 90651 |
|
1,069 |
1,044 |
$3K |
| 90715 |
|
184 |
183 |
$3K |
| 85018 |
|
1,265 |
1,215 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
294 |
283 |
$2K |
| 99172 |
|
5,415 |
5,158 |
$2K |
| 92551 |
|
5,359 |
5,110 |
$2K |
| 90648 |
|
108 |
102 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
25 |
$2K |
| 90620 |
|
419 |
405 |
$958.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$917.34 |
| 90700 |
|
129 |
123 |
$841.94 |
| 81002 |
|
978 |
947 |
$774.80 |
| 90680 |
|
1,129 |
1,098 |
$445.00 |
| 90716 |
|
814 |
790 |
$290.00 |
| 90619 |
|
257 |
255 |
$220.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
328 |
310 |
$115.88 |
| 90685 |
|
29 |
28 |
$90.00 |
| 90696 |
|
87 |
80 |
$60.00 |
| 90677 |
|
283 |
282 |
$0.00 |
| 90671 |
|
145 |
140 |
$0.00 |
| 90461 |
|
596 |
582 |
$0.00 |