| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,420 |
2,165 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,032 |
963 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
652 |
525 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
407 |
402 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
812 |
753 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
547 |
534 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
406 |
398 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
240 |
188 |
$2K |
| 92551 |
|
377 |
363 |
$2K |
| 99383 |
|
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
64 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
94 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 90474 |
|
41 |
40 |
$362.81 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$271.38 |
| 90461 |
|
61 |
57 |
$106.36 |
| 90677 |
|
91 |
88 |
$75.43 |
| 81002 |
|
40 |
38 |
$68.17 |
| 87807 |
|
14 |
14 |
$61.32 |
| S8301 |
Infection control supplies, not otherwise specified |
17 |
13 |
$17.50 |
| 90648 |
|
99 |
97 |
$0.01 |
| 90680 |
|
110 |
105 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 99173 |
|
397 |
379 |
$0.00 |
| 90670 |
|
156 |
151 |
$0.00 |
| 90710 |
|
40 |
38 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |