| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,375 |
3,888 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,591 |
2,414 |
$255K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
787 |
774 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
397 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
337 |
327 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,278 |
2,157 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
258 |
249 |
$10K |
| 90461 |
|
720 |
651 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
50 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
407 |
382 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
279 |
138 |
$3K |
| 0071A |
|
29 |
27 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
26 |
$865.95 |
| 92552 |
|
38 |
38 |
$617.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$251.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$39.06 |