| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,512 |
10,745 |
$378K |
| 92587 |
|
2,834 |
2,589 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,492 |
1,313 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,394 |
1,127 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,475 |
4,870 |
$59K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
404 |
349 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
699 |
603 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
356 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,817 |
1,056 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
389 |
287 |
$15K |
| 90686 |
|
923 |
803 |
$11K |
| 0071A |
|
47 |
42 |
$4K |
| 87631 |
|
14 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
44 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
28 |
$2K |
| 87807 |
|
136 |
119 |
$1K |
| 0072A |
|
18 |
15 |
$1K |
| 90670 |
|
149 |
111 |
$1K |
| 96127 |
|
277 |
259 |
$1K |
| 90685 |
|
62 |
59 |
$544.92 |
| 90647 |
|
42 |
39 |
$491.41 |
| 90633 |
|
54 |
52 |
$458.88 |
| 90723 |
|
59 |
41 |
$450.38 |
| 90716 |
|
25 |
24 |
$249.70 |
| 90656 |
|
16 |
15 |
$200.85 |
| 90707 |
|
13 |
12 |
$105.16 |
| 99177 |
|
1,770 |
1,565 |
$0.00 |
| 97803 |
|
562 |
528 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
136 |
$0.00 |
| 90461 |
|
41 |
32 |
$0.00 |
| 97802 |
|
641 |
574 |
$0.00 |
| 3008F |
|
207 |
203 |
$0.00 |
| 99000 |
|
14 |
13 |
$0.00 |