| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,693 |
8,700 |
$622K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,761 |
3,256 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,325 |
1,258 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,185 |
1,115 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
818 |
784 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
699 |
676 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,864 |
3,676 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,761 |
1,635 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,257 |
1,133 |
$34K |
| 99401 |
|
1,644 |
1,576 |
$25K |
| 97802 |
|
735 |
722 |
$21K |
| 87428 |
|
355 |
333 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,336 |
1,214 |
$16K |
| 99188 |
|
760 |
709 |
$9K |
| 90461 |
|
295 |
288 |
$9K |
| 81002 |
|
2,204 |
2,087 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
26 |
$3K |
| 90686 |
|
860 |
824 |
$2K |
| 90670 |
|
681 |
656 |
$1K |
| 90685 |
|
247 |
243 |
$756.64 |
| 90698 |
|
395 |
373 |
$230.50 |
| 90633 |
|
253 |
231 |
$15.00 |
| 90734 |
|
95 |
93 |
$0.00 |
| 90715 |
|
55 |
55 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90621 |
|
28 |
27 |
$0.00 |
| 90672 |
|
64 |
64 |
$0.00 |
| 90680 |
|
270 |
249 |
$0.00 |
| 90744 |
|
37 |
37 |
$0.00 |
| 90651 |
|
340 |
332 |
$0.00 |
| 90697 |
|
44 |
43 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |