| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,955 |
6,241 |
$471K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,142 |
1,872 |
$195K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,254 |
1,117 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,301 |
1,238 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
740 |
709 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
436 |
386 |
$56K |
| 97802 |
|
7,475 |
6,385 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,797 |
2,516 |
$29K |
| 87428 |
|
834 |
770 |
$19K |
| 90461 |
|
1,424 |
1,203 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,099 |
1,830 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
82 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
628 |
527 |
$5K |
| S9451 |
Exercise classes, non-physician provider, per session |
3,919 |
3,274 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
531 |
241 |
$2K |
| 99188 |
|
475 |
419 |
$1K |
| 90670 |
|
236 |
223 |
$1K |
| 90716 |
|
56 |
46 |
$840.24 |
| 90686 |
|
361 |
343 |
$747.21 |
| 90651 |
|
76 |
75 |
$343.46 |
| 90700 |
|
32 |
27 |
$131.22 |
| 90633 |
|
124 |
108 |
$130.05 |
| 99051 |
|
12 |
12 |
$96.08 |
| 90619 |
|
12 |
12 |
$81.82 |
| 90744 |
|
48 |
44 |
$60.02 |
| 90698 |
|
187 |
181 |
$29.00 |
| 90680 |
|
54 |
53 |
$0.00 |
| 90707 |
|
58 |
46 |
$0.00 |
| 90713 |
|
19 |
14 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |