| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,095 |
25,044 |
$921K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,928 |
2,908 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
780 |
708 |
$37K |
| 17110 |
|
405 |
330 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
798 |
797 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
701 |
699 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,432 |
5,333 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
758 |
712 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
216 |
216 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
279 |
277 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,235 |
861 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
247 |
247 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
296 |
291 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
233 |
230 |
$6K |
| 92551 |
|
1,084 |
1,084 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
54 |
$3K |
| 11720 |
|
115 |
111 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,312 |
2,246 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| 94760 |
|
5,723 |
5,138 |
$1K |
| 11721 |
|
31 |
30 |
$937.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$893.70 |
| 93000 |
|
80 |
80 |
$757.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
63 |
$526.23 |
| 11057 |
|
13 |
12 |
$429.04 |
| 11055 |
|
14 |
14 |
$362.78 |
| 90686 |
|
41 |
41 |
$132.44 |
| 99173 |
|
111 |
111 |
$126.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$96.96 |
| 90461 |
|
28 |
27 |
$39.61 |
| 83655 |
|
12 |
12 |
$35.74 |
| 85018 |
|
24 |
24 |
$10.30 |
| 81000 |
|
13 |
12 |
$0.00 |