| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,906 |
13,739 |
$685K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,997 |
4,259 |
$214K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,979 |
10,244 |
$176K |
| 92587 |
|
3,532 |
3,389 |
$148K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,807 |
3,964 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,572 |
1,358 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,213 |
1,166 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,032 |
1,003 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,094 |
1,035 |
$78K |
| 92567 |
|
3,362 |
2,997 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
608 |
$40K |
| 90461 |
|
2,231 |
2,170 |
$39K |
| 85027 |
|
4,564 |
4,308 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,433 |
3,312 |
$32K |
| 87807 |
|
1,463 |
1,289 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
266 |
$9K |
| 90633 |
|
1,119 |
1,062 |
$1K |
| 90651 |
|
253 |
245 |
$890.60 |
| 90670 |
|
1,010 |
969 |
$889.32 |
| 81025 |
|
108 |
99 |
$720.21 |
| 81002 |
|
321 |
305 |
$610.91 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$554.17 |
| 99460 |
|
13 |
12 |
$526.13 |
| 90723 |
|
681 |
650 |
$454.47 |
| 99462 |
|
25 |
13 |
$432.75 |
| 90648 |
|
968 |
925 |
$378.15 |
| 90734 |
|
248 |
238 |
$289.63 |
| 86308 |
|
41 |
40 |
$234.58 |
| 90710 |
|
34 |
32 |
$165.52 |
| 90686 |
|
305 |
293 |
$134.82 |
| 90681 |
|
96 |
91 |
$3.30 |
| 90715 |
|
58 |
57 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |