| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,151 |
7,643 |
$621K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,347 |
4,610 |
$523K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,235 |
1,235 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,201 |
1,200 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
616 |
615 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
700 |
646 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,644 |
4,534 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,052 |
1,039 |
$42K |
| 94010 |
|
502 |
426 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
636 |
304 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,794 |
2,658 |
$10K |
| 92551 |
|
1,914 |
1,910 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
281 |
266 |
$4K |
| 99173 |
|
1,890 |
1,883 |
$3K |
| 0001A |
|
78 |
78 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
103 |
$2K |
| 0071A |
|
63 |
63 |
$2K |
| 69210 |
|
40 |
32 |
$2K |
| 99051 |
|
170 |
157 |
$2K |
| 0072A |
|
52 |
52 |
$2K |
| 0002A |
|
36 |
36 |
$1K |
| 90686 |
|
1,779 |
1,779 |
$1K |
| 99422 |
|
15 |
14 |
$338.85 |
| 81002 |
|
53 |
51 |
$106.00 |
| 90480 |
|
19 |
19 |
$95.00 |
| 86580 |
|
13 |
12 |
$85.35 |
| 85018 |
|
13 |
13 |
$23.18 |
| 94760 |
|
204 |
176 |
$4.91 |
| 91307 |
|
116 |
103 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90648 |
|
68 |
66 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 90670 |
|
84 |
82 |
$0.00 |
| 91300 |
|
111 |
101 |
$0.00 |
| 99080 |
|
80 |
20 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |