| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,903 |
8,444 |
$405K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,794 |
1,783 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,697 |
1,681 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,461 |
1,390 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,812 |
1,770 |
$122K |
| 92551 |
|
3,831 |
3,771 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
994 |
986 |
$83K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,614 |
1,598 |
$57K |
| 90698 |
|
342 |
340 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
673 |
334 |
$9K |
| 90686 |
|
1,460 |
1,456 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
508 |
500 |
$7K |
| 90670 |
|
859 |
857 |
$6K |
| 0072A |
|
162 |
155 |
$6K |
| 0071A |
|
152 |
137 |
$6K |
| 90700 |
|
230 |
228 |
$5K |
| 87070 |
|
355 |
350 |
$2K |
| 99072 |
|
115 |
111 |
$2K |
| 90680 |
|
211 |
210 |
$2K |
| 90633 |
|
211 |
209 |
$1K |
| 83655 |
|
129 |
129 |
$1K |
| 0002A |
|
29 |
29 |
$1K |
| 90651 |
|
155 |
154 |
$1K |
| 87807 |
|
91 |
91 |
$1K |
| 90744 |
|
107 |
106 |
$785.96 |
| 90715 |
|
42 |
42 |
$743.00 |
| 92587 |
|
30 |
30 |
$730.24 |
| 85018 |
|
348 |
344 |
$714.26 |
| 90619 |
|
63 |
63 |
$575.36 |
| 0003A |
|
14 |
13 |
$520.00 |
| 90734 |
|
86 |
86 |
$504.04 |
| 82465 |
|
98 |
98 |
$376.81 |
| 83718 |
|
46 |
46 |
$318.58 |
| 90713 |
|
27 |
27 |
$148.91 |
| 90621 |
|
13 |
12 |
$120.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$17.57 |
| 99177 |
|
15 |
13 |
$0.00 |