| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,416 |
2,370 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
224 |
183 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
692 |
412 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,158 |
591 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,254 |
1,090 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,925 |
598 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
536 |
194 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
507 |
183 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
68 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
95 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$639.37 |
| 90651 |
|
35 |
29 |
$300.00 |
| 90670 |
|
733 |
236 |
$229.83 |
| 90686 |
|
184 |
155 |
$22.14 |
| 90648 |
|
413 |
162 |
$0.00 |
| 90734 |
|
20 |
14 |
$0.00 |
| 90633 |
|
114 |
36 |
$0.00 |
| 90681 |
|
50 |
15 |
$0.00 |
| 90710 |
|
15 |
13 |
$0.00 |
| 90723 |
|
197 |
82 |
$0.00 |
| 90697 |
|
195 |
44 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |