| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,024 |
6,377 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,336 |
2,283 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,944 |
1,871 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,569 |
2,474 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,552 |
1,507 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,295 |
1,157 |
$112K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,740 |
2,633 |
$25K |
| 99381 |
|
231 |
228 |
$18K |
| 99383 |
|
162 |
133 |
$13K |
| 99384 |
|
81 |
79 |
$6K |
| 99382 |
|
61 |
41 |
$5K |
| 99443 |
|
152 |
145 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
542 |
292 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
136 |
$1K |
| 99442 |
|
58 |
54 |
$1K |
| 90670 |
|
742 |
717 |
$30.00 |
| 90715 |
|
182 |
180 |
$10.00 |
| 90700 |
|
85 |
85 |
$0.00 |
| 90633 |
|
437 |
414 |
$0.00 |
| 90734 |
|
241 |
237 |
$0.00 |
| 90648 |
|
223 |
217 |
$0.00 |
| 90681 |
|
96 |
94 |
$0.00 |
| 90710 |
|
372 |
363 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |
| 90651 |
|
274 |
271 |
$0.00 |
| 90688 |
|
141 |
137 |
$0.00 |
| 90686 |
|
98 |
97 |
$0.00 |
| 90698 |
|
194 |
192 |
$0.00 |
| 90723 |
|
60 |
60 |
$0.00 |
| 90744 |
|
16 |
15 |
$0.00 |
| 90696 |
|
48 |
46 |
$0.00 |