| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,496 |
3,591 |
$231K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
975 |
833 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
640 |
623 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
400 |
389 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
122 |
$9K |
| 90670 |
|
523 |
512 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
687 |
334 |
$9K |
| 92551 |
|
872 |
846 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
94 |
$8K |
| 99188 |
|
342 |
335 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
469 |
455 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
119 |
113 |
$6K |
| 90648 |
|
522 |
511 |
$5K |
| 90723 |
|
413 |
401 |
$5K |
| 90649 |
|
71 |
70 |
$5K |
| 90680 |
|
363 |
353 |
$5K |
| 90716 |
|
257 |
252 |
$4K |
| 99460 |
|
59 |
56 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,650 |
1,545 |
$4K |
| 90707 |
|
253 |
248 |
$3K |
| 83655 |
|
221 |
212 |
$3K |
| 90633 |
|
232 |
225 |
$3K |
| 90688 |
|
263 |
240 |
$2K |
| 99173 |
|
903 |
875 |
$2K |
| 90685 |
|
190 |
176 |
$2K |
| 90696 |
|
98 |
96 |
$1K |
| 90734 |
|
46 |
45 |
$1K |
| 90461 |
|
857 |
828 |
$951.50 |
| 54150 |
|
12 |
12 |
$786.96 |
| 90700 |
|
45 |
45 |
$608.98 |
| 85018 |
|
230 |
221 |
$584.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$497.44 |
| 90715 |
|
39 |
39 |
$484.38 |
| 99462 |
|
16 |
13 |
$462.78 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$400.51 |
| 88720 |
|
115 |
93 |
$381.64 |
| 81002 |
|
101 |
97 |
$298.33 |
| 90672 |
|
28 |
18 |
$223.16 |
| 36416 |
|
212 |
207 |
$124.98 |
| 90686 |
|
12 |
12 |
$107.87 |
| 81025 |
|
13 |
12 |
$84.00 |