| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,170 |
16,320 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,661 |
3,644 |
$378K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,963 |
8,936 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,567 |
3,467 |
$313K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,055 |
3,048 |
$311K |
| 99173 |
|
4,233 |
4,232 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,531 |
1,531 |
$155K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,582 |
4,878 |
$148K |
| 90461 |
|
1,605 |
1,604 |
$102K |
| 87428 |
|
1,459 |
1,407 |
$94K |
| 92587 |
|
4,111 |
4,104 |
$83K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,641 |
1,608 |
$68K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,083 |
1,055 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,333 |
3,294 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
496 |
496 |
$49K |
| 87807 |
|
1,035 |
1,016 |
$13K |
| 92567 |
|
803 |
792 |
$11K |
| 99080 |
|
1,498 |
1,495 |
$7K |
| 99381 |
|
24 |
24 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
131 |
131 |
$1K |
| 83655 |
|
95 |
95 |
$1K |
| 99441 |
|
14 |
14 |
$799.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
24 |
$619.31 |
| 90670 |
|
2,577 |
2,571 |
$372.54 |
| 90698 |
|
2,589 |
2,583 |
$317.22 |
| 99188 |
|
18 |
18 |
$290.44 |
| 85018 |
|
106 |
106 |
$256.95 |
| 90744 |
|
481 |
481 |
$62.40 |
| 90686 |
|
3,096 |
3,094 |
$40.96 |
| 90649 |
|
115 |
115 |
$0.00 |
| 90672 |
|
220 |
220 |
$0.00 |
| 90681 |
|
286 |
286 |
$0.00 |
| 90707 |
|
86 |
86 |
$0.00 |
| 90710 |
|
106 |
106 |
$0.00 |
| 90633 |
|
198 |
198 |
$0.00 |
| 90671 |
|
71 |
70 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
87 |
87 |
$0.00 |
| 90688 |
|
166 |
166 |
$0.00 |