| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,159 |
10,682 |
$617K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,604 |
5,940 |
$450K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,851 |
1,587 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,443 |
1,267 |
$114K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,295 |
2,944 |
$74K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,221 |
4,660 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
716 |
684 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,118 |
1,929 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,050 |
476 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
271 |
225 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
398 |
379 |
$11K |
| 99460 |
|
191 |
155 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
50 |
$5K |
| 99215 |
Prolong outpt/office vis |
18 |
13 |
$2K |
| 90473 |
|
80 |
78 |
$774.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
27 |
$542.65 |
| 90670 |
|
365 |
340 |
$523.37 |
| 87807 |
|
49 |
40 |
$388.60 |
| 90686 |
|
2,496 |
2,227 |
$346.72 |
| 83655 |
|
43 |
30 |
$346.13 |
| 36416 |
|
135 |
110 |
$280.39 |
| 85018 |
|
45 |
30 |
$106.70 |
| 90656 |
|
45 |
45 |
$99.65 |
| 99173 |
|
32 |
32 |
$46.74 |
| 90647 |
|
94 |
90 |
$26.76 |
| 94760 |
|
13 |
13 |
$22.11 |
| 90680 |
|
98 |
94 |
$0.00 |
| 90723 |
|
99 |
95 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90633 |
|
33 |
24 |
$0.00 |