| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,762 |
8,173 |
$644K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,623 |
5,009 |
$588K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,325 |
2,082 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,973 |
1,905 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
840 |
810 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,079 |
4,490 |
$93K |
| 99215 |
Prolong outpt/office vis |
589 |
327 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
119 |
$14K |
| 90461 |
|
837 |
793 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
828 |
433 |
$8K |
| 90686 |
|
892 |
830 |
$5K |
| 99188 |
|
233 |
215 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
224 |
$2K |
| 99460 |
|
20 |
19 |
$2K |
| 99051 |
|
357 |
327 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
59 |
59 |
$2K |
| 99462 |
|
33 |
30 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$849.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
76 |
$803.28 |
| 90670 |
|
916 |
833 |
$735.42 |
| 90698 |
|
405 |
382 |
$617.95 |
| 83655 |
|
64 |
58 |
$494.30 |
| 85018 |
|
283 |
269 |
$372.11 |
| 99050 |
|
34 |
27 |
$257.30 |
| 87807 |
|
29 |
27 |
$108.64 |
| 90633 |
|
90 |
85 |
$60.02 |
| 90744 |
|
125 |
117 |
$46.01 |
| 36416 |
|
168 |
158 |
$36.00 |
| 99000 |
|
1,019 |
889 |
$16.22 |
| 96160 |
|
43 |
41 |
$5.14 |
| 96161 |
|
99 |
90 |
$2.57 |
| 96127 |
|
696 |
643 |
$0.00 |
| 90680 |
|
399 |
377 |
$0.00 |
| 99174 |
|
531 |
515 |
$0.00 |
| 90651 |
|
21 |
15 |
$0.00 |
| 90716 |
|
14 |
12 |
$0.00 |
| 99072 |
|
436 |
394 |
$0.00 |