| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,750 |
6,329 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
774 |
727 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
974 |
943 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
734 |
718 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
648 |
618 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,974 |
4,742 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
309 |
296 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,800 |
1,716 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
66 |
$612.87 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$570.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
42 |
$416.56 |
| 99000 |
|
468 |
446 |
$289.71 |
| 90474 |
|
12 |
12 |
$36.00 |
| 90670 |
|
146 |
143 |
$0.00 |
| 90648 |
|
184 |
180 |
$0.00 |
| 90685 |
|
58 |
58 |
$0.00 |
| 90686 |
|
1,419 |
1,366 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
25 |
24 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |