| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,299 |
14,478 |
$1.15M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,506 |
2,505 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,379 |
2,376 |
$190K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,484 |
1,480 |
$118K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,158 |
6,800 |
$103K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,877 |
2,855 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,284 |
1,264 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,017 |
4,936 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
410 |
405 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,407 |
1,352 |
$26K |
| 87400 |
|
272 |
137 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
100 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
70 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96127 |
|
195 |
195 |
$637.80 |
| 86580 |
|
119 |
119 |
$558.47 |
| 81002 |
|
180 |
178 |
$468.62 |
| 90688 |
|
884 |
883 |
$179.93 |
| 90619 |
|
17 |
17 |
$0.00 |
| 90651 |
|
213 |
213 |
$0.00 |
| 90696 |
|
53 |
53 |
$0.00 |
| 90716 |
|
201 |
201 |
$0.00 |
| 90620 |
|
16 |
16 |
$0.00 |
| 90633 |
|
189 |
189 |
$0.00 |
| 90670 |
|
405 |
405 |
$0.00 |
| 90648 |
|
32 |
31 |
$0.00 |
| 90734 |
|
520 |
519 |
$0.00 |
| 90707 |
|
153 |
150 |
$0.00 |
| 90715 |
|
167 |
167 |
$0.00 |
| 90687 |
|
26 |
26 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |