| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,218 |
4,875 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
698 |
693 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
452 |
447 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
384 |
376 |
$32K |
| 99050 |
|
1,451 |
1,332 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
393 |
385 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,503 |
1,477 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,074 |
1,051 |
$13K |
| 87400 |
|
1,161 |
568 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,232 |
697 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,607 |
1,556 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
608 |
299 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
70 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
129 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
222 |
218 |
$2K |
| 87807 |
|
66 |
65 |
$684.20 |
| 99051 |
|
847 |
802 |
$657.36 |
| 90686 |
|
353 |
351 |
$165.06 |
| 90715 |
|
24 |
24 |
$94.54 |
| 86580 |
|
13 |
13 |
$83.98 |
| 81001 |
|
17 |
15 |
$42.56 |
| 90651 |
|
73 |
73 |
$0.07 |
| 90620 |
|
16 |
16 |
$0.01 |
| 90670 |
|
131 |
130 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |