| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,029 |
872 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
820 |
732 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
624 |
570 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
124 |
$10K |
| 90671 |
|
480 |
456 |
$7K |
| 90723 |
|
436 |
418 |
$6K |
| 90680 |
|
414 |
398 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
500 |
225 |
$5K |
| 90647 |
|
341 |
326 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
86 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
227 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
30 |
$3K |
| 87807 |
|
143 |
131 |
$1K |
| 90656 |
|
73 |
73 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
43 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$672.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
12 |
$592.41 |
| 99173 |
|
153 |
137 |
$531.40 |
| 92551 |
|
133 |
117 |
$444.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$408.80 |
| 36416 |
|
180 |
161 |
$314.00 |