| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,593 |
6,433 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,163 |
2,751 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,157 |
1,014 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
683 |
635 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
561 |
501 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
762 |
603 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,337 |
1,147 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
813 |
704 |
$12K |
| 90686 |
|
1,014 |
914 |
$12K |
| 90670 |
|
609 |
566 |
$5K |
| 90648 |
|
550 |
512 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
154 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
101 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
59 |
$4K |
| 90723 |
|
336 |
308 |
$3K |
| 83655 |
|
148 |
128 |
$2K |
| 90633 |
|
150 |
133 |
$1K |
| 87807 |
|
113 |
94 |
$1K |
| 90681 |
|
128 |
114 |
$1K |
| 0071A |
|
16 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
83 |
$894.13 |
| 90656 |
|
117 |
101 |
$889.08 |
| 90655 |
|
104 |
89 |
$803.04 |
| 99188 |
|
40 |
34 |
$686.47 |
| 85018 |
|
232 |
203 |
$623.88 |
| 90707 |
|
47 |
43 |
$391.96 |
| 90716 |
|
47 |
43 |
$382.40 |
| 90657 |
|
39 |
36 |
$300.08 |
| 90651 |
|
15 |
15 |
$160.40 |
| 90734 |
|
14 |
13 |
$151.86 |
| 90658 |
|
15 |
14 |
$133.84 |
| 90700 |
|
16 |
14 |
$133.84 |
| 90660 |
|
16 |
14 |
$114.72 |
| 94760 |
|
20 |
20 |
$70.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
265 |
231 |
$0.00 |
| 90461 |
|
125 |
106 |
$0.00 |