| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,644 |
4,055 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
840 |
830 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
769 |
756 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,881 |
2,104 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,342 |
2,193 |
$31K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
463 |
443 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
266 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
845 |
811 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
342 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
229 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,114 |
518 |
$14K |
| 87428 |
|
254 |
232 |
$8K |
| 90461 |
|
1,112 |
988 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
253 |
238 |
$3K |
| 87807 |
|
18 |
17 |
$198.00 |
| 92551 |
|
39 |
38 |
$57.24 |
| 99072 |
|
22 |
22 |
$28.00 |
| 90658 |
|
371 |
369 |
$0.01 |
| 90670 |
|
481 |
458 |
$0.00 |
| 99173 |
|
890 |
851 |
$0.00 |
| 90671 |
|
73 |
71 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90621 |
|
15 |
14 |
$0.00 |
| 90680 |
|
196 |
186 |
$0.00 |
| 90657 |
|
190 |
189 |
$0.00 |
| 90698 |
|
161 |
149 |
$0.00 |
| 90697 |
|
78 |
78 |
$0.00 |
| 90744 |
|
26 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
72 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |