| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,752 |
2,325 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
260 |
236 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
120 |
$9K |
| 87428 |
|
240 |
198 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
231 |
210 |
$8K |
| 97803 |
|
860 |
755 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
37 |
$3K |
| 87430 |
|
211 |
186 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
163 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
96 |
$1K |
| 90688 |
|
76 |
71 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
43 |
$1K |
| 99408 |
|
78 |
65 |
$881.16 |
| 90658 |
|
22 |
20 |
$408.42 |
| 85018 |
|
17 |
14 |
$35.55 |
| 3008F |
|
791 |
674 |
$0.03 |
| 2014F |
|
47 |
41 |
$0.01 |