| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,699 |
8,202 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,299 |
2,223 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
505 |
503 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
293 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
984 |
773 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
90 |
$7K |
| 90686 |
|
1,624 |
1,612 |
$7K |
| 87428 |
|
187 |
180 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$2K |
| 90656 |
|
276 |
275 |
$2K |
| 90670 |
|
403 |
398 |
$1K |
| 99173 |
|
254 |
249 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$833.71 |
| 90698 |
|
242 |
240 |
$819.00 |
| 90633 |
|
191 |
186 |
$763.00 |
| 99499 |
|
31 |
28 |
$679.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
87 |
$564.57 |
| 90707 |
|
151 |
151 |
$504.00 |
| 90716 |
|
129 |
129 |
$434.00 |
| 90734 |
|
41 |
41 |
$280.00 |
| 90461 |
|
16 |
16 |
$229.06 |
| 90648 |
|
16 |
16 |
$112.00 |
| 90696 |
|
39 |
39 |
$98.00 |
| 90700 |
|
12 |
12 |
$84.00 |
| 90744 |
|
64 |
64 |
$84.00 |
| 90681 |
|
28 |
26 |
$0.00 |
| 0071A |
|
17 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |