| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,618 |
18,215 |
$1.62M |
| 99441 |
|
4,340 |
3,746 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,834 |
1,783 |
$162K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,190 |
9,458 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,025 |
1,023 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
919 |
918 |
$69K |
| 99442 |
|
862 |
759 |
$57K |
| 92567 |
|
3,535 |
3,506 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,191 |
1,182 |
$24K |
| 87428 |
|
464 |
449 |
$16K |
| 99215 |
Prolong outpt/office vis |
93 |
88 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
119 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
141 |
$10K |
| 81002 |
|
3,484 |
3,363 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
727 |
345 |
$10K |
| 85018 |
|
3,422 |
3,410 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
348 |
345 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
163 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
34 |
$1K |
| 36416 |
|
2,983 |
2,965 |
$376.32 |
| 90651 |
|
25 |
25 |
$229.34 |
| 87807 |
|
36 |
35 |
$193.17 |
| 90686 |
|
411 |
410 |
$64.63 |
| 99173 |
|
2,970 |
2,965 |
$0.00 |
| 90621 |
|
97 |
96 |
$0.00 |
| 90461 |
|
212 |
210 |
$0.00 |
| 90734 |
|
98 |
96 |
$0.00 |
| 90649 |
|
84 |
84 |
$0.00 |