| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,236 |
9,409 |
$339K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,407 |
1,369 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,569 |
4,177 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
927 |
895 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
805 |
775 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
544 |
529 |
$36K |
| 92552 |
|
2,664 |
2,533 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,603 |
793 |
$17K |
| 3008F |
|
2,302 |
2,216 |
$8K |
| 90461 |
|
1,815 |
870 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
492 |
472 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
862 |
827 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,369 |
1,314 |
$5K |
| 90686 |
|
707 |
672 |
$5K |
| 99173 |
|
2,637 |
2,506 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
93 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
578 |
534 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,242 |
2,131 |
$3K |
| 90734 |
|
59 |
56 |
$2K |
| 36406 |
|
342 |
292 |
$2K |
| 90670 |
|
147 |
123 |
$1K |
| 90651 |
|
26 |
25 |
$991.22 |
| 99441 |
|
43 |
39 |
$911.63 |
| 99442 |
|
17 |
15 |
$846.79 |
| 90707 |
|
33 |
31 |
$653.19 |
| 90716 |
|
18 |
17 |
$505.08 |
| 90723 |
|
12 |
12 |
$400.00 |
| 90715 |
|
28 |
26 |
$375.31 |
| 99422 |
|
17 |
16 |
$322.88 |
| 90656 |
|
12 |
12 |
$245.28 |
| 90648 |
|
70 |
57 |
$80.34 |
| 92567 |
|
12 |
12 |
$75.44 |
| 90685 |
|
48 |
40 |
$66.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$27.82 |
| 99000 |
|
2,218 |
2,177 |
$0.00 |