| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,778 |
13,444 |
$927K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,158 |
2,084 |
$254K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,504 |
2,408 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,695 |
2,578 |
$244K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,295 |
1,238 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
563 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,646 |
1,572 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,884 |
5,660 |
$36K |
| 90670 |
|
953 |
881 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
145 |
$16K |
| 97802 |
|
6,143 |
5,686 |
$10K |
| 90651 |
|
1,151 |
1,003 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
358 |
350 |
$7K |
| 90461 |
|
2,609 |
2,407 |
$7K |
| 90620 |
|
960 |
861 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,222 |
577 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
285 |
273 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
949 |
872 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 90716 |
|
449 |
425 |
$2K |
| 90686 |
|
836 |
823 |
$965.21 |
| 90633 |
|
703 |
636 |
$584.72 |
| 86580 |
|
1,192 |
1,128 |
$528.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$362.16 |
| 90734 |
|
703 |
599 |
$99.02 |
| 90715 |
|
169 |
138 |
$72.02 |
| 90648 |
|
327 |
301 |
$24.01 |
| 99050 |
|
20 |
20 |
$15.28 |
| 90707 |
|
192 |
173 |
$9.00 |
| 90671 |
|
81 |
80 |
$0.05 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,712 |
5,843 |
$0.00 |
| 90680 |
|
615 |
573 |
$0.00 |
| 90698 |
|
98 |
92 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90619 |
|
57 |
56 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$0.00 |
| 90677 |
|
33 |
31 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
12 |
$0.00 |
| 90700 |
|
86 |
83 |
$0.00 |