| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,728 |
8,691 |
$686K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,922 |
1,920 |
$183K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,343 |
4,305 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,496 |
1,495 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,060 |
1,059 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,095 |
1,075 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
165 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
363 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
198 |
191 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
481 |
474 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99174 |
|
1,086 |
1,086 |
$1K |
| 81002 |
|
358 |
358 |
$717.43 |
| 90686 |
|
1,052 |
1,050 |
$0.03 |
| 90633 |
|
677 |
677 |
$0.00 |
| 90670 |
|
421 |
421 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90680 |
|
123 |
123 |
$0.00 |
| 90647 |
|
99 |
99 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |