| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,427 |
3,051 |
$205K |
| 87428 |
|
986 |
888 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
276 |
267 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
112 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
795 |
738 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
74 |
73 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
191 |
177 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
268 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
55 |
$2K |
| 96127 |
|
473 |
465 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$967.49 |
| 99173 |
|
154 |
150 |
$915.59 |
| 81025 |
|
116 |
115 |
$541.30 |
| 90461 |
|
16 |
16 |
$260.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$169.36 |
| 81002 |
|
83 |
82 |
$164.99 |
| 87210 |
|
47 |
47 |
$136.83 |
| 94760 |
|
15 |
14 |
$56.79 |
| H0033 |
Oral medication administration, direct observation |
79 |
70 |
$0.77 |
| 90656 |
|
15 |
15 |
$0.15 |