| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,361 |
13,130 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,212 |
8,600 |
$977K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,441 |
3,371 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,169 |
1,165 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,147 |
1,142 |
$108K |
| 87428 |
|
1,376 |
1,347 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,944 |
4,845 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,165 |
1,138 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
506 |
499 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
397 |
397 |
$41K |
| 92551 |
|
3,128 |
3,046 |
$33K |
| 99215 |
Prolong outpt/office vis |
170 |
136 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,538 |
1,525 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,520 |
1,499 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
726 |
360 |
$8K |
| 99173 |
|
2,804 |
2,756 |
$7K |
| 90686 |
|
1,397 |
1,369 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
458 |
444 |
$5K |
| 90734 |
|
100 |
100 |
$3K |
| 90710 |
|
70 |
69 |
$2K |
| 90670 |
|
170 |
167 |
$2K |
| 96127 |
|
303 |
300 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 0001A |
|
27 |
27 |
$1K |
| 90656 |
|
99 |
99 |
$772.56 |
| 90651 |
|
18 |
18 |
$671.17 |
| 87807 |
|
63 |
61 |
$647.40 |
| 0071A |
|
15 |
15 |
$600.00 |
| 90697 |
|
13 |
13 |
$280.14 |
| 90715 |
|
16 |
16 |
$233.17 |
| 90474 |
|
12 |
12 |
$130.68 |
| 90696 |
|
13 |
13 |
$116.72 |
| 99072 |
|
123 |
120 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 91300 |
|
137 |
135 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90674 |
|
40 |
40 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |