| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,015 |
22,173 |
$1.95M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,598 |
3,577 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,744 |
3,607 |
$346K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,016 |
2,994 |
$338K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,311 |
3,269 |
$318K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,384 |
2,271 |
$217K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,224 |
5,046 |
$181K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,694 |
2,558 |
$126K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,542 |
4,701 |
$101K |
| 94010 |
|
2,734 |
2,693 |
$89K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
633 |
630 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,986 |
8,921 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,452 |
4,445 |
$67K |
| 87807 |
|
3,964 |
3,839 |
$46K |
| 96111 |
|
278 |
278 |
$39K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
293 |
291 |
$22K |
| 87430 |
|
3,357 |
3,299 |
$16K |
| 4124F |
|
580 |
555 |
$12K |
| 99383 |
|
68 |
68 |
$7K |
| 99384 |
|
32 |
32 |
$4K |
| 90649 |
|
383 |
383 |
$4K |
| 99381 |
|
37 |
37 |
$4K |
| 90671 |
|
269 |
269 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
292 |
292 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 96112 |
|
12 |
12 |
$2K |
| 90686 |
|
762 |
759 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90715 |
|
83 |
83 |
$297.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$239.07 |
| 90756 |
|
15 |
15 |
$185.14 |
| 90672 |
|
24 |
24 |
$46.82 |
| 90680 |
|
396 |
393 |
$0.00 |
| 90723 |
|
77 |
77 |
$0.00 |
| 99000 |
|
31 |
31 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90688 |
|
136 |
136 |
$0.00 |
| 90648 |
|
249 |
249 |
$0.00 |
| 90685 |
|
150 |
150 |
$0.00 |
| 90670 |
|
532 |
528 |
$0.00 |
| 90734 |
|
164 |
164 |
$0.00 |
| 90633 |
|
124 |
124 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |