| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,555 |
11,294 |
$1.53M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
181 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
163 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,724 |
1,575 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
40 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,564 |
2,314 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,577 |
631 |
$2K |
| 90461 |
|
178 |
176 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$695.73 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
91 |
76 |
$478.87 |
| 90686 |
|
737 |
712 |
$46.70 |
| 97802 |
|
186 |
155 |
$32.00 |
| 90656 |
|
119 |
114 |
$20.25 |
| 90713 |
|
116 |
115 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
71 |
70 |
$0.00 |
| 90670 |
|
40 |
39 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
381 |
306 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
183 |
151 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 99050 |
|
113 |
113 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |