| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,837 |
15,111 |
$670K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,614 |
6,331 |
$284K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,141 |
3,080 |
$283K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,381 |
3,293 |
$282K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,131 |
2,086 |
$209K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,897 |
6,180 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,295 |
2,253 |
$187K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,264 |
9,031 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,833 |
1,740 |
$101K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,188 |
4,549 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,342 |
1,322 |
$86K |
| 99383 |
|
770 |
767 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,001 |
4,829 |
$73K |
| 99384 |
|
524 |
517 |
$54K |
| 99000 |
|
4,791 |
4,622 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,192 |
3,904 |
$44K |
| 99382 |
|
416 |
413 |
$40K |
| 99381 |
|
359 |
353 |
$31K |
| S8301 |
Infection control supplies, not otherwise specified |
1,845 |
1,718 |
$19K |
| 90474 |
|
1,431 |
1,407 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
687 |
681 |
$9K |
| 96160 |
|
2,959 |
2,902 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
130 |
$3K |
| 97169 |
|
95 |
95 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 90686 |
|
4,403 |
4,298 |
$529.64 |
| 90670 |
|
1,765 |
1,754 |
$447.04 |
| 90651 |
|
1,005 |
987 |
$272.38 |
| 90677 |
|
587 |
562 |
$255.24 |
| 81002 |
|
15 |
15 |
$46.43 |
| 90621 |
|
504 |
491 |
$0.10 |
| 90619 |
|
35 |
35 |
$0.02 |
| 90734 |
|
931 |
912 |
$0.01 |
| 90723 |
|
722 |
713 |
$0.00 |
| 90716 |
|
178 |
177 |
$0.00 |
| 90680 |
|
1,438 |
1,414 |
$0.00 |
| 90696 |
|
269 |
269 |
$0.00 |
| 90698 |
|
617 |
606 |
$0.00 |
| 90744 |
|
172 |
170 |
$0.00 |
| 90715 |
|
355 |
353 |
$0.00 |
| 90700 |
|
564 |
547 |
$0.00 |
| 90710 |
|
826 |
808 |
$0.00 |
| 90648 |
|
1,463 |
1,439 |
$0.00 |
| 90633 |
|
1,247 |
1,223 |
$0.00 |
| 90713 |
|
44 |
44 |
$0.00 |
| 90707 |
|
184 |
183 |
$0.00 |