| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,443 |
9,135 |
$370K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,579 |
2,398 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,184 |
1,936 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,883 |
2,421 |
$144K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,945 |
1,680 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,883 |
1,318 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,002 |
4,200 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
52 |
$4K |
| 99383 |
|
81 |
59 |
$3K |
| 99384 |
|
39 |
30 |
$2K |
| 90651 |
|
764 |
683 |
$2K |
| 99382 |
|
36 |
24 |
$2K |
| 90700 |
|
556 |
483 |
$2K |
| 90461 |
|
2,537 |
2,073 |
$1K |
| 81002 |
|
543 |
470 |
$1K |
| 90620 |
|
660 |
564 |
$908.11 |
| 99381 |
|
38 |
12 |
$866.73 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
79 |
78 |
$684.60 |
| 90688 |
|
812 |
709 |
$596.01 |
| 90670 |
|
1,074 |
922 |
$587.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
32 |
$368.98 |
| 90710 |
|
208 |
169 |
$220.00 |
| 90734 |
|
444 |
373 |
$130.00 |
| 90707 |
|
48 |
30 |
$88.00 |
| 92551 |
|
5,791 |
4,728 |
$41.83 |
| 90715 |
|
136 |
118 |
$10.00 |
| 90633 |
|
298 |
275 |
$10.00 |
| 99173 |
|
5,842 |
4,774 |
$0.00 |
| 90648 |
|
696 |
640 |
$0.00 |
| 90713 |
|
191 |
169 |
$0.00 |
| 90698 |
|
102 |
54 |
$0.00 |
| 90716 |
|
46 |
28 |
$0.00 |
| 90723 |
|
155 |
144 |
$0.00 |
| 90680 |
|
77 |
40 |
$0.00 |