| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,453 |
3,132 |
$560K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,112 |
1,949 |
$414K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,548 |
1,512 |
$270K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,019 |
990 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
946 |
928 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
536 |
528 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,863 |
3,701 |
$42K |
| 99383 |
|
137 |
131 |
$20K |
| 99384 |
|
105 |
103 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
107 |
$16K |
| 99381 |
|
17 |
12 |
$2K |
| 99382 |
|
14 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$1K |
| 90651 |
|
194 |
190 |
$860.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
36 |
$856.40 |
| 90461 |
|
1,737 |
1,666 |
$499.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
192 |
110 |
$332.84 |
| 87428 |
|
19 |
17 |
$0.00 |
| 90686 |
|
638 |
607 |
$0.00 |
| 90647 |
|
574 |
550 |
$0.00 |
| 90723 |
|
593 |
575 |
$0.00 |
| 90677 |
|
96 |
93 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
25 |
$0.00 |
| 90656 |
|
33 |
33 |
$0.00 |
| 90734 |
|
256 |
250 |
$0.00 |
| 90670 |
|
826 |
797 |
$0.00 |
| 90633 |
|
312 |
299 |
$0.00 |
| 90710 |
|
189 |
186 |
$0.00 |
| 90681 |
|
53 |
53 |
$0.00 |
| 90685 |
|
90 |
81 |
$0.00 |
| 90715 |
|
40 |
38 |
$0.00 |