| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,856 |
11,332 |
$684K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,447 |
2,370 |
$213K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,132 |
2,043 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,556 |
3,532 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,361 |
1,585 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,644 |
2,386 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
889 |
883 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
307 |
306 |
$23K |
| 90686 |
|
2,903 |
2,896 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
188 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
212 |
195 |
$14K |
| 87070 |
|
1,805 |
1,620 |
$8K |
| 99174 |
|
1,336 |
1,328 |
$6K |
| 85018 |
|
4,116 |
3,962 |
$6K |
| 81002 |
|
2,773 |
2,632 |
$6K |
| 90656 |
|
332 |
328 |
$1K |
| 90698 |
|
53 |
53 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90677 |
|
12 |
12 |
$759.63 |
| 99050 |
|
72 |
72 |
$691.20 |
| 82465 |
|
195 |
194 |
$525.58 |
| 96127 |
|
96 |
95 |
$350.01 |
| 90670 |
|
26 |
26 |
$319.14 |
| 92558 |
|
2,486 |
2,355 |
$309.86 |
| 90680 |
|
12 |
12 |
$287.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$184.00 |
| 90685 |
|
15 |
15 |
$116.15 |
| 83655 |
|
16 |
12 |
$72.70 |
| 36416 |
|
4,292 |
4,089 |
$22.92 |
| 90461 |
|
269 |
267 |
$0.00 |
| 99051 |
|
867 |
796 |
$0.00 |