| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,197 |
21,287 |
$1.37M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,354 |
4,057 |
$368K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,446 |
4,010 |
$365K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,603 |
3,994 |
$355K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,933 |
2,624 |
$224K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,371 |
2,188 |
$200K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,540 |
3,705 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,112 |
1,968 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,582 |
5,401 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,951 |
1,765 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,595 |
734 |
$23K |
| 90670 |
|
1,850 |
1,665 |
$23K |
| 99381 |
|
301 |
271 |
$22K |
| 99460 |
|
245 |
228 |
$16K |
| 99383 |
|
101 |
93 |
$10K |
| 90680 |
|
1,101 |
991 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
76 |
$7K |
| 87807 |
|
666 |
611 |
$7K |
| 90474 |
|
742 |
667 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
165 |
150 |
$5K |
| 90716 |
|
892 |
789 |
$4K |
| 90713 |
|
1,989 |
1,788 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
49 |
44 |
$4K |
| 90651 |
|
160 |
134 |
$4K |
| 90700 |
|
2,236 |
1,995 |
$4K |
| 90707 |
|
952 |
850 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
73 |
67 |
$3K |
| 90744 |
|
1,115 |
987 |
$2K |
| 90648 |
|
1,822 |
1,632 |
$2K |
| 90715 |
|
268 |
236 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$1K |
| 90633 |
|
920 |
824 |
$1K |
| 90686 |
|
598 |
506 |
$725.41 |
| 90658 |
|
98 |
97 |
$392.29 |
| 90685 |
|
27 |
24 |
$233.16 |
| 90621 |
|
102 |
83 |
$156.60 |
| 90657 |
|
17 |
17 |
$91.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$42.51 |
| 81002 |
|
15 |
13 |
$40.86 |
| 90734 |
|
324 |
273 |
$0.00 |
| 90649 |
|
69 |
69 |
$0.00 |