| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,576 |
13,625 |
$986K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,125 |
9,066 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,416 |
2,303 |
$239K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,085 |
1,056 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,289 |
1,289 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
920 |
919 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
597 |
595 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
483 |
483 |
$49K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
921 |
895 |
$25K |
| 92551 |
|
2,321 |
2,321 |
$18K |
| 99215 |
Prolong outpt/office vis |
89 |
88 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
268 |
$8K |
| 96127 |
|
1,160 |
1,143 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
115 |
114 |
$5K |
| 99173 |
|
2,120 |
2,119 |
$4K |
| 99177 |
|
1,193 |
1,193 |
$4K |
| 0001A |
|
90 |
89 |
$4K |
| 99188 |
|
116 |
116 |
$2K |
| 0072A |
|
48 |
48 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
41 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
122 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
55 |
$1K |
| 0002A |
|
15 |
15 |
$609.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
25 |
$375.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$317.52 |
| 90686 |
|
26 |
25 |
$72.68 |
| 96160 |
|
24 |
24 |
$66.18 |