| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,655 |
2,524 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,229 |
1,177 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
533 |
518 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,670 |
1,611 |
$38K |
| 87428 |
|
506 |
492 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
244 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
278 |
$27K |
| 90461 |
|
665 |
639 |
$23K |
| 92587 |
|
337 |
323 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
222 |
203 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
354 |
346 |
$15K |
| 87070 |
|
342 |
326 |
$13K |
| 99174 |
|
301 |
297 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
180 |
179 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
503 |
483 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
189 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
117 |
$1K |
| 83655 |
|
268 |
262 |
$1K |
| 85018 |
|
479 |
465 |
$991.20 |
| 87807 |
|
78 |
75 |
$761.11 |
| 0071A |
|
12 |
12 |
$496.16 |
| 90686 |
|
166 |
164 |
$78.00 |