| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,639 |
1,529 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
699 |
681 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
443 |
430 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
391 |
384 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
451 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
139 |
$13K |
| 92587 |
|
588 |
577 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
454 |
224 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,407 |
1,354 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
108 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
766 |
747 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
88 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
72 |
$711.65 |
| 90473 |
|
224 |
220 |
$443.30 |
| 99174 |
|
199 |
181 |
$342.13 |
| 90734 |
|
27 |
26 |
$196.23 |
| 90651 |
|
15 |
15 |
$180.05 |
| 85018 |
|
88 |
85 |
$152.20 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
14 |
$78.00 |
| 99000 |
|
61 |
55 |
$63.00 |
| 90715 |
|
13 |
13 |
$44.02 |
| 87807 |
|
13 |
12 |
$7.60 |
| 90686 |
|
695 |
672 |
$1.26 |
| 90672 |
|
93 |
92 |
$0.27 |
| 90670 |
|
203 |
200 |
$0.06 |
| 90656 |
|
25 |
25 |
$0.03 |
| 90648 |
|
323 |
319 |
$0.01 |
| 1160F |
|
1,959 |
1,754 |
$0.00 |
| 3725F |
|
894 |
735 |
$0.00 |
| 3078F |
|
2,456 |
2,074 |
$0.00 |
| 90671 |
|
92 |
92 |
$0.00 |
| 90681 |
|
111 |
109 |
$0.00 |
| 90633 |
|
45 |
42 |
$0.00 |
| 90723 |
|
229 |
226 |
$0.00 |
| 3008F |
|
4,470 |
3,731 |
$0.00 |
| 3074F |
|
2,393 |
2,211 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
157 |
150 |
$0.00 |
| 1036F |
|
3,049 |
2,495 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |