| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,891 |
7,743 |
$503K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,643 |
3,855 |
$342K |
| 99051 |
|
17,302 |
12,838 |
$209K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,092 |
962 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
692 |
587 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,740 |
1,488 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
922 |
752 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
305 |
265 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
307 |
268 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
614 |
577 |
$19K |
| 92551 |
|
1,843 |
1,539 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,042 |
835 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
647 |
429 |
$10K |
| 99173 |
|
1,854 |
1,550 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
56 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
20 |
$1K |
| 96160 |
|
803 |
634 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
22 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
95 |
73 |
$1K |
| 99383 |
|
17 |
13 |
$931.95 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
17 |
$583.24 |
| 0072A |
|
13 |
12 |
$302.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
25 |
$291.87 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
25 |
$255.30 |
| 0071A |
|
17 |
15 |
$251.85 |
| 36410 |
|
44 |
34 |
$155.36 |
| 85018 |
|
73 |
61 |
$118.51 |
| 90658 |
|
353 |
309 |
$26.48 |
| 90670 |
|
90 |
80 |
$0.13 |
| 90716 |
|
41 |
39 |
$0.11 |
| 90707 |
|
56 |
37 |
$0.06 |
| 90649 |
|
18 |
13 |
$0.03 |
| 3008F |
|
81 |
78 |
$0.00 |
| 90698 |
|
19 |
12 |
$0.00 |
| 91307 |
|
43 |
42 |
$0.00 |
| 3351F |
|
13 |
12 |
$0.00 |