| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,714 |
5,891 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,531 |
3,048 |
$317K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,011 |
3,633 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
732 |
659 |
$67K |
| 92587 |
|
1,023 |
1,005 |
$58K |
| 87428 |
|
939 |
910 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
441 |
390 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
515 |
445 |
$43K |
| 90461 |
|
1,134 |
976 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
454 |
322 |
$34K |
| 99174 |
|
522 |
492 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,160 |
1,047 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
187 |
184 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
142 |
142 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
78 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
410 |
348 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
299 |
290 |
$4K |
| 83655 |
|
641 |
544 |
$3K |
| 87430 |
|
152 |
148 |
$2K |
| 87400 |
|
136 |
128 |
$1K |
| 85018 |
|
659 |
556 |
$1K |
| 87807 |
|
24 |
24 |
$239.21 |
| 81002 |
|
44 |
42 |
$96.53 |
| 90686 |
|
27 |
27 |
$13.00 |