| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,024 |
24,389 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,901 |
6,453 |
$498K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,475 |
4,370 |
$443K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,048 |
3,001 |
$312K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,948 |
2,784 |
$304K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,676 |
1,554 |
$172K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,009 |
9,446 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,673 |
4,421 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
415 |
402 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,483 |
4,081 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
980 |
845 |
$6K |
| 90700 |
|
1,552 |
1,392 |
$2K |
| 90658 |
|
3,200 |
3,051 |
$2K |
| 90620 |
|
1,530 |
1,462 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90657 |
|
881 |
764 |
$1K |
| 90698 |
|
182 |
181 |
$875.00 |
| 90707 |
|
813 |
768 |
$614.41 |
| 90715 |
|
329 |
318 |
$578.76 |
| 90670 |
|
1,487 |
1,328 |
$552.77 |
| 90633 |
|
742 |
671 |
$392.57 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
21 |
$346.22 |
| 90734 |
|
434 |
417 |
$254.58 |
| 90649 |
|
855 |
808 |
$240.47 |
| 90744 |
|
431 |
401 |
$116.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
15 |
$106.93 |
| 90713 |
|
1,133 |
1,024 |
$100.00 |
| 90619 |
|
300 |
293 |
$51.25 |
| 90716 |
|
851 |
812 |
$45.00 |
| 90680 |
|
708 |
609 |
$24.01 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
70 |
65 |
$0.39 |
| 90648 |
|
872 |
750 |
$0.00 |