| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,308 |
2,029 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
564 |
526 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
1,207 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
493 |
473 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,188 |
1,139 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
268 |
227 |
$14K |
| 97802 |
|
803 |
765 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,446 |
1,294 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
110 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
374 |
$5K |
| 90677 |
|
162 |
160 |
$4K |
| 87428 |
|
43 |
35 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
66 |
64 |
$1K |
| 87807 |
|
207 |
192 |
$653.20 |
| 90716 |
|
99 |
98 |
$120.00 |
| 99499 |
|
13 |
13 |
$28.08 |
| 99173 |
|
741 |
690 |
$15.00 |
| 90633 |
|
96 |
94 |
$0.00 |
| 90648 |
|
383 |
369 |
$0.00 |
| 90670 |
|
186 |
176 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90707 |
|
99 |
86 |
$0.00 |
| 90680 |
|
169 |
164 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
808 |
753 |
$0.00 |
| 90723 |
|
278 |
266 |
$0.00 |
| 90686 |
|
247 |
241 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |