| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,902 |
8,825 |
$716K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,838 |
1,811 |
$215K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,545 |
1,530 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,904 |
1,816 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,106 |
1,081 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,166 |
989 |
$56K |
| 99188 |
|
4,549 |
4,445 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,161 |
4,021 |
$46K |
| 87428 |
|
587 |
544 |
$37K |
| 97802 |
|
2,417 |
2,135 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,414 |
1,338 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
707 |
646 |
$20K |
| 90461 |
|
542 |
533 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,337 |
1,256 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
93 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
163 |
146 |
$2K |
| 90671 |
|
100 |
90 |
$1K |
| 90686 |
|
1,635 |
1,595 |
$646.16 |
| 81002 |
|
1,540 |
1,424 |
$578.45 |
| 99401 |
|
1,448 |
1,431 |
$330.84 |
| 90670 |
|
247 |
242 |
$240.00 |
| 90651 |
|
471 |
465 |
$126.43 |
| 90744 |
|
12 |
12 |
$24.00 |
| 83655 |
|
54 |
51 |
$17.00 |
| 90698 |
|
39 |
37 |
$0.00 |
| 90619 |
|
34 |
30 |
$0.00 |
| 36416 |
|
52 |
49 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90633 |
|
71 |
68 |
$0.00 |
| 90621 |
|
356 |
353 |
$0.00 |
| 90734 |
|
203 |
196 |
$0.00 |
| 90715 |
|
15 |
12 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 99173 |
|
61 |
61 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |