| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,794 |
36,253 |
$1.68M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40,372 |
18,408 |
$589K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,783 |
7,473 |
$446K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,022 |
6,500 |
$445K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,053 |
7,402 |
$391K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,714 |
5,446 |
$318K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,196 |
3,088 |
$196K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,393 |
4,158 |
$109K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,098 |
992 |
$67K |
| 90710 |
|
2,191 |
2,089 |
$54K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,051 |
1,008 |
$41K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,443 |
1,306 |
$32K |
| 99460 |
|
452 |
435 |
$28K |
| 90651 |
|
1,007 |
984 |
$27K |
| 90647 |
|
5,460 |
5,149 |
$17K |
| 90677 |
|
948 |
854 |
$13K |
| 90670 |
|
4,588 |
4,384 |
$13K |
| 90686 |
|
3,285 |
3,187 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,072 |
799 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
349 |
333 |
$9K |
| 90723 |
|
4,243 |
3,991 |
$8K |
| 81003 |
|
4,260 |
4,027 |
$8K |
| 90633 |
|
2,260 |
2,168 |
$7K |
| 83655 |
|
365 |
352 |
$4K |
| 90734 |
|
909 |
881 |
$4K |
| 90681 |
|
1,744 |
1,670 |
$3K |
| 36416 |
|
760 |
729 |
$1K |
| 0072A |
|
13 |
13 |
$1K |
| 0071A |
|
12 |
12 |
$1K |
| 85018 |
|
501 |
481 |
$1K |
| 90715 |
|
328 |
306 |
$971.54 |
| 90696 |
|
503 |
485 |
$657.63 |
| 87807 |
|
75 |
56 |
$580.47 |
| 90620 |
|
118 |
118 |
$402.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$389.05 |
| 90700 |
|
178 |
175 |
$369.89 |
| 0011A |
|
14 |
14 |
$300.00 |
| 90658 |
|
742 |
741 |
$205.91 |
| 90672 |
|
14 |
13 |
$158.75 |
| 90657 |
|
118 |
115 |
$120.00 |
| 90685 |
|
31 |
29 |
$15.00 |
| 91307 |
|
34 |
29 |
$14.31 |
| 87999 |
|
30 |
30 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90688 |
|
28 |
27 |
$0.00 |