| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,325 |
22,970 |
$1.65M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,614 |
3,580 |
$372K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,837 |
3,813 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,137 |
3,003 |
$305K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,868 |
2,844 |
$275K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,659 |
11,467 |
$241K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,657 |
1,625 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,328 |
3,218 |
$130K |
| 90461 |
|
5,118 |
5,051 |
$99K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,114 |
4,895 |
$70K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,650 |
1,574 |
$69K |
| G9153 |
Mapcp demonstration - physician incentive pool |
1,285 |
1,284 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,855 |
1,909 |
$53K |
| 94664 |
|
1,023 |
960 |
$12K |
| 99381 |
|
63 |
61 |
$6K |
| 99383 |
|
17 |
17 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 81002 |
|
210 |
196 |
$617.08 |
| 90651 |
|
1,109 |
1,097 |
$337.21 |
| 90715 |
|
355 |
349 |
$0.00 |
| 90713 |
|
186 |
183 |
$0.00 |
| 90707 |
|
633 |
625 |
$0.00 |
| 90633 |
|
1,342 |
1,316 |
$0.00 |
| 90670 |
|
1,181 |
1,164 |
$0.00 |
| 90700 |
|
717 |
710 |
$0.00 |
| 90734 |
|
921 |
906 |
$0.00 |
| 90672 |
|
426 |
422 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90716 |
|
748 |
736 |
$0.00 |
| 90680 |
|
458 |
452 |
$0.00 |
| 90723 |
|
726 |
714 |
$0.00 |
| 90686 |
|
3,395 |
3,349 |
$0.00 |
| 90647 |
|
821 |
808 |
$0.00 |
| 90620 |
|
370 |
366 |
$0.00 |