| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,125 |
18,297 |
$809K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,347 |
2,337 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,957 |
1,941 |
$176K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,264 |
6,192 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,102 |
1,100 |
$94K |
| 99000 |
|
8,228 |
7,821 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,235 |
2,047 |
$61K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
952 |
920 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,914 |
1,865 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
268 |
266 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,988 |
2,910 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
150 |
$10K |
| 90461 |
|
1,844 |
1,480 |
$9K |
| 81000 |
|
2,757 |
2,669 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
42 |
$4K |
| 90688 |
|
1,847 |
1,836 |
$2K |
| 97169 |
|
40 |
39 |
$1K |
| 90686 |
|
1,779 |
1,773 |
$136.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$125.34 |
| 90677 |
|
170 |
168 |
$0.25 |
| 90671 |
|
83 |
83 |
$0.19 |
| 90651 |
|
980 |
975 |
$0.10 |
| 90620 |
|
698 |
697 |
$0.07 |
| 90697 |
|
36 |
36 |
$0.05 |
| 90734 |
|
823 |
819 |
$0.01 |
| 90670 |
|
414 |
411 |
$0.00 |
| 90648 |
|
130 |
130 |
$0.00 |
| 90715 |
|
146 |
143 |
$0.00 |
| 90633 |
|
147 |
144 |
$0.00 |
| 90710 |
|
30 |
29 |
$0.00 |
| 90680 |
|
109 |
109 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90696 |
|
27 |
26 |
$0.00 |