| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,331 |
5,558 |
$388K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,176 |
2,002 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,399 |
1,274 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,174 |
1,050 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,121 |
978 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
974 |
880 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
403 |
400 |
$19K |
| 90686 |
|
989 |
923 |
$18K |
| 99173 |
|
3,573 |
3,237 |
$16K |
| 81003 |
|
4,778 |
4,261 |
$12K |
| 90671 |
|
708 |
594 |
$11K |
| 90651 |
|
390 |
345 |
$10K |
| 90656 |
|
678 |
481 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
898 |
433 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
716 |
663 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
293 |
272 |
$7K |
| 90680 |
|
376 |
304 |
$6K |
| 90648 |
|
378 |
298 |
$5K |
| 90461 |
|
70 |
68 |
$4K |
| 90734 |
|
242 |
200 |
$4K |
| 87070 |
|
276 |
271 |
$3K |
| 90723 |
|
189 |
128 |
$2K |
| 90633 |
|
154 |
116 |
$2K |
| 87428 |
|
50 |
38 |
$2K |
| 83655 |
|
108 |
106 |
$2K |
| 90710 |
|
100 |
79 |
$1K |
| 96127 |
|
420 |
363 |
$1K |
| 87807 |
|
79 |
74 |
$803.00 |
| 90698 |
|
38 |
38 |
$752.02 |
| 90715 |
|
29 |
29 |
$573.91 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$518.19 |
| 0154A |
|
15 |
12 |
$400.00 |
| 99462 |
|
18 |
13 |
$308.00 |
| 85018 |
|
921 |
834 |
$68.48 |
| 36416 |
|
12 |
12 |
$30.00 |
| 1160F |
|
14,617 |
12,420 |
$0.00 |
| 3078F |
|
5,389 |
4,782 |
$0.00 |
| 1159F |
|
14,628 |
12,422 |
$0.00 |
| 4025F |
|
453 |
417 |
$0.00 |
| 3008F |
|
7,270 |
6,428 |
$0.00 |
| 3074F |
|
5,610 |
4,973 |
$0.00 |
| 1036F |
|
2,532 |
1,843 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |