| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,545 |
9,447 |
$631K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,168 |
1,064 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
317 |
302 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
257 |
235 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,318 |
1,176 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,366 |
619 |
$16K |
| 90686 |
|
1,137 |
1,085 |
$14K |
| 86580 |
|
1,633 |
1,524 |
$12K |
| 90651 |
|
114 |
100 |
$6K |
| 81003 |
|
2,130 |
1,949 |
$4K |
| 90620 |
|
88 |
79 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
137 |
124 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,050 |
1,891 |
$3K |
| 90734 |
|
109 |
91 |
$3K |
| 85013 |
|
1,081 |
993 |
$3K |
| 85018 |
|
1,062 |
993 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
27 |
$2K |
| 83655 |
|
128 |
115 |
$1K |
| 36416 |
|
2,268 |
2,083 |
$688.29 |
| 36415 |
Collection of venous blood by venipuncture |
218 |
191 |
$373.48 |
| 90461 |
|
252 |
217 |
$358.60 |
| 87807 |
|
49 |
43 |
$338.10 |
| 90715 |
|
32 |
28 |
$321.44 |
| 90700 |
|
30 |
27 |
$281.15 |
| 90713 |
|
14 |
12 |
$123.20 |
| 82962 |
|
29 |
26 |
$64.93 |