| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,443 |
3,182 |
$125K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,077 |
857 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
221 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
572 |
408 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
157 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
119 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,794 |
1,281 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
63 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
332 |
160 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
46 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
447 |
124 |
$1K |
| 99383 |
|
42 |
33 |
$1K |
| 90734 |
|
144 |
69 |
$719.64 |
| 86580 |
|
181 |
181 |
$712.80 |
| 3008F |
|
1,753 |
1,520 |
$670.00 |
| 83655 |
|
105 |
82 |
$620.00 |
| 92551 |
|
159 |
52 |
$489.53 |
| 90671 |
|
116 |
71 |
$482.58 |
| 92587 |
|
44 |
35 |
$480.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$396.40 |
| 90656 |
|
152 |
152 |
$374.61 |
| 90620 |
|
72 |
42 |
$225.75 |
| 99177 |
|
164 |
72 |
$223.85 |
| 90651 |
|
57 |
39 |
$168.97 |
| 99188 |
|
16 |
14 |
$130.00 |
| 36406 |
|
27 |
18 |
$89.52 |
| 97803 |
|
1,750 |
1,517 |
$67.50 |
| 36410 |
|
56 |
44 |
$57.12 |
| 99000 |
|
1,479 |
795 |
$54.34 |
| 90633 |
|
116 |
61 |
$40.33 |
| H0033 |
Oral medication administration, direct observation |
36 |
33 |
$40.00 |
| 90700 |
|
19 |
14 |
$30.73 |
| 99173 |
|
187 |
93 |
$10.00 |
| 99174 |
|
22 |
22 |
$7.45 |
| 90716 |
|
29 |
28 |
$2.00 |
| 90647 |
|
38 |
33 |
$1.00 |
| 90707 |
|
13 |
13 |
$1.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 90723 |
|
17 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$0.00 |
| 87400 |
|
63 |
53 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |