| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,986 |
9,847 |
$628K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,038 |
4,881 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,881 |
1,875 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,674 |
1,655 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,374 |
1,373 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
704 |
653 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,279 |
3,140 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,285 |
754 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,409 |
1,407 |
$13K |
| 97802 |
|
1,313 |
1,310 |
$11K |
| 87070 |
|
1,612 |
1,534 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
304 |
294 |
$9K |
| 87184 |
|
1,580 |
1,502 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
44 |
$4K |
| 97803 |
|
196 |
196 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
90 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
149 |
122 |
$2K |
| 36406 |
|
170 |
159 |
$2K |
| 36410 |
|
175 |
174 |
$2K |
| 81000 |
|
632 |
627 |
$1K |
| 90656 |
|
71 |
71 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$830.13 |
| 99406 |
|
12 |
12 |
$22.00 |
| 99408 |
|
12 |
12 |
$0.00 |