| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,769 |
23,613 |
$961K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,419 |
3,296 |
$222K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,315 |
2,272 |
$164K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,743 |
3,552 |
$116K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,334 |
1,267 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,318 |
6,122 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,453 |
1,413 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,130 |
4,006 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
543 |
532 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
653 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
734 |
701 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,819 |
1,735 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
911 |
830 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
607 |
594 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
513 |
425 |
$9K |
| 0001A |
|
143 |
139 |
$5K |
| 90633 |
|
1,650 |
1,536 |
$5K |
| 90670 |
|
1,259 |
1,208 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
232 |
223 |
$4K |
| 87634 |
|
59 |
59 |
$3K |
| 0002A |
|
75 |
74 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
114 |
104 |
$2K |
| 87807 |
|
118 |
105 |
$1K |
| 90671 |
|
221 |
220 |
$1K |
| 90686 |
|
373 |
362 |
$665.66 |
| 0072A |
|
16 |
16 |
$616.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 90680 |
|
242 |
240 |
$421.10 |
| 90648 |
|
285 |
268 |
$420.22 |
| 83655 |
|
12 |
12 |
$189.00 |
| 90710 |
|
42 |
38 |
$157.64 |
| 90651 |
|
46 |
42 |
$40.89 |
| 90658 |
|
99 |
99 |
$40.22 |
| 90734 |
|
14 |
14 |
$39.60 |
| 90698 |
|
126 |
122 |
$33.00 |
| 90723 |
|
27 |
26 |
$33.00 |
| 90677 |
|
125 |
123 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |