| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
670 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
119 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
130 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
500 |
356 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
66 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
281 |
218 |
$3K |
| 99381 |
|
42 |
27 |
$2K |
| 92587 |
|
269 |
166 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
156 |
$1K |
| 99177 |
|
465 |
290 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
73 |
$1K |
| 99383 |
|
20 |
12 |
$914.63 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
23 |
$699.77 |
| 85018 |
|
397 |
250 |
$458.48 |
| 81003 |
|
388 |
233 |
$422.96 |
| 90474 |
|
14 |
12 |
$121.50 |
| 36416 |
|
398 |
252 |
$108.90 |
| 83655 |
|
12 |
12 |
$73.02 |
| 96381 |
|
15 |
13 |
$53.08 |
| 90723 |
|
50 |
40 |
$0.00 |
| 90677 |
|
98 |
83 |
$0.00 |
| 90647 |
|
57 |
46 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90656 |
|
115 |
74 |
$0.00 |
| 90710 |
|
15 |
12 |
$0.00 |