| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,429 |
8,751 |
$420K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,839 |
2,678 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,362 |
1,326 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,092 |
1,080 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
785 |
777 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
605 |
601 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
662 |
636 |
$14K |
| 90686 |
|
1,577 |
1,560 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
310 |
304 |
$9K |
| 90671 |
|
672 |
672 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
265 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,029 |
1,004 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
714 |
345 |
$7K |
| 99080 |
|
339 |
324 |
$7K |
| 90656 |
|
688 |
682 |
$6K |
| 90697 |
|
423 |
423 |
$6K |
| 90688 |
|
641 |
640 |
$5K |
| 90680 |
|
569 |
567 |
$5K |
| 99188 |
|
168 |
166 |
$4K |
| 99499 |
|
133 |
119 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$2K |
| 90698 |
|
422 |
418 |
$2K |
| 96156 |
|
39 |
39 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$2K |
| 90670 |
|
413 |
410 |
$1K |
| 99174 |
|
140 |
138 |
$1K |
| 92552 |
|
39 |
39 |
$1K |
| 90633 |
|
180 |
180 |
$1K |
| 99381 |
|
39 |
37 |
$939.17 |
| 90480 |
|
33 |
32 |
$531.60 |
| 90461 |
|
63 |
56 |
$504.04 |
| 90716 |
|
40 |
40 |
$368.68 |
| 94664 |
|
14 |
14 |
$309.08 |
| 90707 |
|
28 |
28 |
$277.19 |
| 96127 |
|
89 |
86 |
$259.18 |
| 90381 |
|
28 |
28 |
$200.00 |
| 90651 |
|
62 |
62 |
$161.76 |
| 90710 |
|
50 |
49 |
$150.73 |
| 90696 |
|
25 |
25 |
$150.73 |
| 90672 |
|
14 |
14 |
$141.80 |
| 91321 |
|
12 |
12 |
$120.00 |
| 99173 |
|
51 |
51 |
$94.35 |
| 96161 |
|
45 |
41 |
$65.28 |
| 99000 |
|
319 |
299 |
$3.00 |
| 99072 |
|
20 |
15 |
$1.50 |
| G9920 |
Screening performed and negative |
218 |
208 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| 99051 |
|
41 |
38 |
$0.00 |
| 90744 |
|
88 |
88 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 90619 |
|
31 |
31 |
$0.00 |