| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,971 |
12,395 |
$707K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,892 |
5,592 |
$408K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,063 |
4,712 |
$112K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,671 |
3,075 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,298 |
4,595 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,337 |
1,298 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,458 |
2,116 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,021 |
1,010 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
906 |
865 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
423 |
420 |
$25K |
| 90651 |
|
307 |
288 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,719 |
891 |
$11K |
| 90658 |
|
711 |
685 |
$9K |
| 99401 |
|
171 |
170 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 90670 |
|
71 |
65 |
$2K |
| 90677 |
|
16 |
16 |
$655.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
75 |
$468.99 |
| 90656 |
|
23 |
23 |
$350.92 |
| 87807 |
|
78 |
60 |
$311.80 |
| 90707 |
|
12 |
12 |
$199.70 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$171.95 |
| 90744 |
|
30 |
26 |
$171.50 |
| 97802 |
|
1,726 |
1,653 |
$134.87 |
| 90647 |
|
26 |
26 |
$102.56 |
| 90657 |
|
24 |
24 |
$48.96 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90700 |
|
29 |
27 |
$0.00 |