| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,792 |
6,877 |
$120K |
| 87428 |
|
595 |
560 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
466 |
449 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
719 |
705 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
827 |
778 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
417 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
145 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
161 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
205 |
203 |
$2K |
| 90686 |
|
164 |
164 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,517 |
2,406 |
$1K |
| 92551 |
|
286 |
284 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
249 |
$953.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
194 |
171 |
$611.65 |
| 99441 |
|
89 |
84 |
$361.34 |
| 90630 |
|
27 |
27 |
$354.54 |
| 81000 |
|
289 |
285 |
$352.61 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$242.28 |
| 99173 |
|
416 |
415 |
$222.22 |
| 90461 |
|
66 |
64 |
$174.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
135 |
$161.86 |
| 90734 |
|
59 |
58 |
$140.67 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$35.46 |
| 99000 |
|
1,865 |
1,791 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |