| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,696 |
11,763 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,081 |
1,494 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,657 |
1,632 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,024 |
880 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
890 |
890 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,606 |
6,918 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,776 |
2,206 |
$60K |
| 87070 |
|
7,011 |
6,337 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,599 |
1,480 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
404 |
404 |
$41K |
| 87184 |
|
6,972 |
6,301 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,042 |
6,367 |
$24K |
| 94644 |
|
1,150 |
781 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
53 |
53 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
400 |
400 |
$8K |
| 94645 |
|
766 |
553 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
691 |
491 |
$5K |
| 99050 |
|
542 |
512 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 97802 |
|
801 |
798 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 92567 |
|
56 |
55 |
$675.65 |
| 81000 |
|
143 |
142 |
$481.34 |
| 87428 |
|
24 |
23 |
$378.72 |
| 90656 |
|
454 |
449 |
$289.75 |
| 36406 |
|
13 |
13 |
$114.14 |
| 90686 |
|
581 |
580 |
$86.48 |
| 99406 |
|
12 |
12 |
$13.68 |
| 90700 |
|
737 |
733 |
$0.00 |
| 97803 |
|
1,145 |
1,144 |
$0.00 |
| 99072 |
|
30 |
25 |
$0.00 |
| 90713 |
|
493 |
493 |
$0.00 |
| 90670 |
|
723 |
716 |
$0.00 |
| 90633 |
|
143 |
142 |
$0.00 |
| 90707 |
|
109 |
109 |
$0.00 |
| 90734 |
|
41 |
41 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 99408 |
|
24 |
24 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90716 |
|
208 |
208 |
$0.00 |
| 90647 |
|
390 |
389 |
$0.00 |
| 90744 |
|
162 |
162 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |