| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,364 |
14,496 |
$1.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,363 |
2,309 |
$338K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,727 |
1,696 |
$253K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,508 |
1,483 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
587 |
572 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,586 |
4,448 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
184 |
$23K |
| 99381 |
|
213 |
207 |
$22K |
| 90461 |
|
2,162 |
2,075 |
$20K |
| 99188 |
|
2,207 |
2,138 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,620 |
882 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
868 |
802 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,158 |
1,132 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
55 |
$3K |
| 99051 |
|
1,394 |
1,331 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
30 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 90686 |
|
804 |
783 |
$890.85 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
188 |
174 |
$614.70 |
| 90710 |
|
28 |
28 |
$443.45 |
| 90670 |
|
1,105 |
1,089 |
$280.22 |
| 85018 |
|
524 |
511 |
$239.15 |
| 90633 |
|
379 |
373 |
$72.03 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$56.32 |
| 90734 |
|
73 |
73 |
$0.00 |
| 90648 |
|
39 |
39 |
$0.00 |
| 90700 |
|
71 |
70 |
$0.00 |
| 90672 |
|
43 |
42 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90744 |
|
367 |
362 |
$0.00 |
| 90680 |
|
654 |
646 |
$0.00 |
| 90698 |
|
802 |
793 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90651 |
|
34 |
32 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |