| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,482 |
6,777 |
$429K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,816 |
3,697 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,434 |
1,380 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,132 |
1,111 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
974 |
940 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,010 |
979 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
800 |
776 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,682 |
1,582 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
167 |
$3K |
| 90461 |
|
40 |
40 |
$1K |
| 87077 |
|
141 |
141 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
60 |
$990.33 |
| 99177 |
|
213 |
207 |
$906.48 |
| 90686 |
|
1,181 |
1,080 |
$804.77 |
| 0081A |
|
18 |
18 |
$686.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
13 |
13 |
$160.61 |
| 90651 |
|
89 |
87 |
$159.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$134.13 |
| 90688 |
|
271 |
237 |
$102.03 |
| 90680 |
|
306 |
290 |
$1.00 |
| 90671 |
|
193 |
177 |
$1.00 |
| 90648 |
|
233 |
201 |
$1.00 |
| 90697 |
|
144 |
134 |
$0.00 |
| 90723 |
|
261 |
251 |
$0.00 |
| 90656 |
|
148 |
148 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 90670 |
|
426 |
377 |
$0.00 |
| 90687 |
|
189 |
173 |
$0.00 |
| 90710 |
|
153 |
142 |
$0.00 |
| 90685 |
|
72 |
66 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90633 |
|
76 |
73 |
$0.00 |
| 90672 |
|
146 |
141 |
$0.00 |