| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,881 |
15,761 |
$747K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,668 |
4,204 |
$306K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,056 |
3,567 |
$302K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,235 |
2,691 |
$253K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,053 |
2,746 |
$199K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,209 |
2,034 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,689 |
8,464 |
$53K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,712 |
1,592 |
$27K |
| 97802 |
|
4,466 |
3,675 |
$20K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
102 |
31 |
$16K |
| 99381 |
|
160 |
101 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
16 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
44 |
$3K |
| 99383 |
|
17 |
17 |
$1K |
| 0071A |
|
46 |
46 |
$1K |
| 0072A |
|
41 |
37 |
$920.00 |
| 90620 |
|
458 |
328 |
$521.00 |
| 90686 |
|
201 |
182 |
$494.02 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
15 |
15 |
$450.00 |
| H0049 |
Alcohol and/or drug screening |
15 |
15 |
$448.20 |
| 90670 |
|
1,645 |
1,237 |
$447.93 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
294 |
289 |
$349.05 |
| 90633 |
|
1,030 |
828 |
$335.05 |
| 90716 |
|
1,040 |
873 |
$330.78 |
| 96160 |
|
216 |
214 |
$297.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
676 |
618 |
$154.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
546 |
511 |
$138.96 |
| 90651 |
|
597 |
552 |
$124.02 |
| 90707 |
|
743 |
596 |
$75.04 |
| 87807 |
|
64 |
61 |
$54.23 |
| 90734 |
|
272 |
216 |
$50.00 |
| 90647 |
|
620 |
469 |
$35.00 |
| 90744 |
|
78 |
71 |
$34.01 |
| 90619 |
|
192 |
182 |
$30.00 |
| 90671 |
|
263 |
251 |
$25.00 |
| 90677 |
|
36 |
36 |
$25.00 |
| 90698 |
|
489 |
426 |
$24.01 |
| 90715 |
|
121 |
111 |
$10.00 |
| 90680 |
|
1,244 |
919 |
$10.00 |
| 90713 |
|
50 |
46 |
$0.00 |
| 90700 |
|
28 |
27 |
$0.00 |
| 91307 |
|
44 |
35 |
$0.00 |
| 90696 |
|
51 |
48 |
$0.00 |