| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,163 |
10,357 |
$360K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
153 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
216 |
205 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
690 |
563 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
144 |
$4K |
| 87400 |
|
307 |
123 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
43 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
35 |
$2K |
| 90461 |
|
176 |
141 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
32 |
$910.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
57 |
$746.71 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22 |
12 |
$743.27 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
40 |
$694.30 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$645.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
65 |
$600.60 |
| 90633 |
|
302 |
244 |
$431.01 |
| 90686 |
|
64 |
61 |
$373.56 |
| 90734 |
|
30 |
26 |
$263.97 |
| 90649 |
|
47 |
33 |
$248.88 |
| 90658 |
|
24 |
18 |
$18.40 |
| 81002 |
|
32 |
28 |
$12.18 |