| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,843 |
12,100 |
$811K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,925 |
1,510 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
933 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
797 |
712 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
837 |
592 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
634 |
564 |
$32K |
| 87428 |
|
789 |
655 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,262 |
1,476 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,110 |
1,952 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
905 |
352 |
$21K |
| 90686 |
|
1,358 |
727 |
$12K |
| 99173 |
|
2,900 |
2,474 |
$11K |
| 92551 |
|
2,013 |
1,756 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
277 |
272 |
$7K |
| 90671 |
|
306 |
297 |
$6K |
| 90656 |
|
323 |
285 |
$6K |
| 90461 |
|
332 |
132 |
$5K |
| 90670 |
|
375 |
135 |
$4K |
| 90647 |
|
400 |
234 |
$4K |
| 90723 |
|
406 |
244 |
$4K |
| 90680 |
|
325 |
197 |
$3K |
| 90734 |
|
104 |
94 |
$2K |
| 87807 |
|
227 |
172 |
$2K |
| 90633 |
|
108 |
81 |
$2K |
| 90716 |
|
96 |
75 |
$1K |
| 90707 |
|
63 |
57 |
$1K |
| 90620 |
|
46 |
46 |
$910.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$777.88 |
| 83655 |
|
85 |
59 |
$682.10 |
| 90696 |
|
25 |
24 |
$474.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
15 |
$242.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
27 |
$234.00 |
| 90651 |
|
19 |
13 |
$217.69 |
| 96127 |
|
59 |
59 |
$153.99 |
| 99051 |
|
26 |
25 |
$0.00 |
| 99050 |
|
16 |
12 |
$0.00 |