| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,477 |
8,865 |
$815K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,125 |
2,445 |
$266K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,458 |
1,939 |
$217K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,858 |
1,452 |
$158K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,022 |
2,936 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,094 |
754 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,119 |
5,213 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
635 |
487 |
$53K |
| 92551 |
|
3,149 |
2,500 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
332 |
275 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
409 |
192 |
$10K |
| 81002 |
|
2,303 |
1,751 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
84 |
63 |
$6K |
| 99173 |
|
3,215 |
2,551 |
$6K |
| 99383 |
|
20 |
20 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
81 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90651 |
|
1,049 |
775 |
$1K |
| 90716 |
|
327 |
228 |
$256.48 |
| 90707 |
|
265 |
185 |
$156.98 |
| 90686 |
|
2,837 |
1,992 |
$135.39 |
| 90633 |
|
770 |
592 |
$74.88 |
| 90715 |
|
304 |
212 |
$48.64 |
| 90744 |
|
143 |
111 |
$26.01 |
| 90713 |
|
681 |
524 |
$11.02 |
| 90700 |
|
1,014 |
762 |
$1.76 |
| 90670 |
|
464 |
371 |
$1.07 |
| 90648 |
|
459 |
368 |
$0.96 |
| 90734 |
|
583 |
417 |
$0.50 |
| 90621 |
|
172 |
116 |
$0.23 |
| 90685 |
|
20 |
19 |
$0.15 |
| 90680 |
|
84 |
65 |
$0.11 |