| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,883 |
5,126 |
$406K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,721 |
1,533 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,341 |
1,230 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
604 |
545 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
350 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
419 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,892 |
2,694 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,125 |
1,987 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
326 |
257 |
$9K |
| 90461 |
|
197 |
156 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
37 |
$2K |
| 99383 |
|
14 |
12 |
$1K |
| 99381 |
|
14 |
12 |
$1K |
| 90670 |
|
757 |
731 |
$635.08 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
40 |
38 |
$593.01 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$474.84 |
| 36416 |
|
50 |
50 |
$346.55 |
| 87428 |
|
14 |
12 |
$284.88 |
| 90688 |
|
359 |
330 |
$129.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
96 |
$62.29 |
| 87807 |
|
29 |
28 |
$39.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
39 |
$35.10 |
| 90633 |
|
195 |
183 |
$34.29 |
| 90697 |
|
16 |
16 |
$34.29 |
| 90648 |
|
323 |
311 |
$0.00 |
| 90671 |
|
180 |
148 |
$0.00 |
| 90473 |
|
14 |
14 |
$0.00 |
| 90710 |
|
42 |
39 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90707 |
|
15 |
12 |
$0.00 |
| 90680 |
|
289 |
275 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90716 |
|
17 |
13 |
$0.00 |
| 90686 |
|
134 |
124 |
$0.00 |
| 90723 |
|
130 |
129 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90651 |
|
20 |
20 |
$0.00 |