| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,219 |
10,441 |
$364K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,974 |
1,967 |
$193K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,414 |
1,410 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,511 |
1,487 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
771 |
766 |
$65K |
| 90670 |
|
1,289 |
1,287 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,059 |
1,010 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,028 |
1,018 |
$27K |
| 90651 |
|
183 |
183 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
168 |
$6K |
| 90716 |
|
440 |
440 |
$1K |
| 90698 |
|
1,261 |
1,258 |
$469.93 |
| 90707 |
|
434 |
434 |
$398.45 |
| 90744 |
|
323 |
322 |
$275.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,239 |
3,492 |
$255.88 |
| 90633 |
|
595 |
592 |
$153.00 |
| 90681 |
|
115 |
115 |
$108.76 |
| 90658 |
|
71 |
71 |
$80.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
161 |
$29.76 |
| 92567 |
|
428 |
412 |
$10.59 |
| 90734 |
|
36 |
36 |
$10.00 |
| 90686 |
|
148 |
148 |
$0.00 |
| 87807 |
|
43 |
43 |
$0.00 |
| 90619 |
|
74 |
74 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 90680 |
|
55 |
55 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
29 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
187 |
184 |
$0.00 |
| 94667 |
|
28 |
28 |
$0.00 |
| 81002 |
|
27 |
25 |
$0.00 |