| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,738 |
8,580 |
$572K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,444 |
2,874 |
$250K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,495 |
2,037 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,095 |
1,869 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,782 |
1,562 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,828 |
1,297 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,622 |
1,541 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,355 |
1,119 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,576 |
2,230 |
$30K |
| 90686 |
|
2,342 |
1,842 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,292 |
5,578 |
$19K |
| 90651 |
|
463 |
380 |
$17K |
| 90670 |
|
1,398 |
958 |
$16K |
| 92587 |
|
1,261 |
1,014 |
$12K |
| 90671 |
|
47 |
46 |
$10K |
| 90648 |
|
1,421 |
996 |
$10K |
| 85018 |
|
4,081 |
3,457 |
$8K |
| 81002 |
|
2,979 |
2,536 |
$7K |
| 90734 |
|
375 |
299 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
415 |
366 |
$6K |
| 90677 |
|
33 |
29 |
$6K |
| 99173 |
|
2,637 |
2,284 |
$5K |
| 90461 |
|
3,459 |
2,170 |
$5K |
| 90680 |
|
461 |
286 |
$5K |
| 90633 |
|
449 |
347 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
125 |
120 |
$4K |
| 90716 |
|
366 |
249 |
$4K |
| 99000 |
|
4,006 |
3,461 |
$3K |
| 90707 |
|
338 |
223 |
$3K |
| 90620 |
|
136 |
125 |
$3K |
| 90723 |
|
262 |
181 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
760 |
653 |
$2K |
| 90619 |
|
12 |
12 |
$2K |
| 83655 |
|
153 |
112 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
59 |
40 |
$1K |
| 90700 |
|
151 |
110 |
$1K |
| 90656 |
|
70 |
64 |
$983.32 |
| 90715 |
|
70 |
65 |
$803.32 |
| 96127 |
|
141 |
128 |
$635.08 |
| 99174 |
|
137 |
112 |
$490.05 |
| 0071A |
|
18 |
12 |
$374.00 |
| 90688 |
|
19 |
16 |
$85.77 |
| 36416 |
|
144 |
105 |
$73.50 |
| 91307 |
|
43 |
30 |
$0.24 |