| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,280 |
3,964 |
$288K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,249 |
1,152 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,869 |
1,853 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
861 |
858 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
205 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
296 |
281 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
84 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
115 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
106 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
126 |
$4K |
| 99460 |
|
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87807 |
|
72 |
72 |
$838.80 |
| 99310 |
Prolong nursin fac eval 15m |
25 |
12 |
$396.47 |
| 90474 |
|
94 |
94 |
$0.02 |
| 90670 |
|
426 |
426 |
$0.00 |
| 90681 |
|
173 |
173 |
$0.00 |
| 90648 |
|
167 |
167 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90686 |
|
65 |
65 |
$0.00 |
| 90723 |
|
50 |
50 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |