| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,090 |
959 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
408 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
681 |
645 |
$19K |
| 90461 |
|
173 |
152 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
67 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$945.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
94 |
$940.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$645.76 |
| 87428 |
|
15 |
14 |
$612.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
30 |
$448.01 |
| 87430 |
|
52 |
51 |
$438.66 |
| 99174 |
|
27 |
27 |
$336.20 |
| 87400 |
|
30 |
29 |
$245.12 |
| 90686 |
|
317 |
295 |
$154.50 |
| 85018 |
|
47 |
47 |
$91.07 |
| 83655 |
|
14 |
14 |
$46.76 |
| 90670 |
|
12 |
12 |
$6.00 |