| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,214 |
3,651 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,289 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
834 |
818 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
904 |
893 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
633 |
625 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
526 |
512 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
518 |
499 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,288 |
2,496 |
$16K |
| 92552 |
|
2,094 |
2,055 |
$14K |
| 90461 |
|
1,004 |
735 |
$5K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$3K |
| 81002 |
|
2,298 |
2,217 |
$2K |
| 90670 |
|
138 |
135 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
33 |
$1K |
| 90620 |
|
55 |
55 |
$1K |
| 85018 |
|
2,565 |
2,519 |
$878.57 |
| 90686 |
|
69 |
68 |
$280.11 |
| 90688 |
|
37 |
34 |
$162.50 |
| 90734 |
|
38 |
38 |
$50.76 |
| 83655 |
|
26 |
26 |
$0.00 |
| 99177 |
|
871 |
678 |
$0.00 |
| 90700 |
|
177 |
175 |
$0.00 |
| 90713 |
|
65 |
65 |
$0.00 |
| 99173 |
|
30 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
32 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90647 |
|
70 |
70 |
$0.00 |
| 36416 |
|
1,090 |
883 |
$0.00 |
| 90651 |
|
44 |
42 |
$0.00 |