| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,015 |
10,950 |
$533K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,231 |
3,169 |
$207K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,525 |
4,264 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,934 |
1,873 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,860 |
1,622 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
983 |
961 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
418 |
$35K |
| 92567 |
|
2,292 |
2,259 |
$28K |
| 92551 |
|
2,340 |
2,304 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,670 |
1,591 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,225 |
602 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
240 |
231 |
$5K |
| 81002 |
|
2,554 |
2,474 |
$5K |
| 90648 |
|
1,361 |
1,293 |
$3K |
| 90670 |
|
1,263 |
1,206 |
$3K |
| 90723 |
|
902 |
859 |
$2K |
| 90680 |
|
712 |
683 |
$2K |
| 90633 |
|
534 |
512 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$1K |
| 90688 |
|
550 |
547 |
$1K |
| 90716 |
|
446 |
416 |
$1K |
| 90707 |
|
394 |
371 |
$934.34 |
| 90461 |
|
92 |
59 |
$895.64 |
| 87807 |
|
59 |
56 |
$701.03 |
| 90686 |
|
680 |
669 |
$629.54 |
| 90734 |
|
307 |
290 |
$607.40 |
| 90651 |
|
337 |
318 |
$599.50 |
| 90671 |
|
56 |
56 |
$343.00 |
| 90715 |
|
155 |
145 |
$276.40 |
| 90687 |
|
12 |
12 |
$100.45 |
| 90620 |
|
40 |
39 |
$60.00 |
| 90696 |
|
56 |
53 |
$60.00 |