| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,256 |
7,058 |
$383K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,226 |
2,796 |
$208K |
| 80305 |
|
7,324 |
5,772 |
$70K |
| 99051 |
|
1,225 |
1,063 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
705 |
657 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
286 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
252 |
238 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
68 |
$7K |
| 0124A |
|
111 |
110 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$5K |
| 0004A |
|
44 |
44 |
$4K |
| 90688 |
|
151 |
149 |
$2K |
| 0073A |
|
14 |
14 |
$1K |
| 90651 |
|
42 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
79 |
$1K |
| 90619 |
|
47 |
45 |
$805.60 |
| 90672 |
|
117 |
102 |
$682.75 |
| 90686 |
|
100 |
90 |
$661.52 |
| 90473 |
|
51 |
51 |
$529.75 |
| 92552 |
|
43 |
41 |
$513.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$369.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$349.68 |
| 90716 |
|
14 |
14 |
$168.90 |
| 90715 |
|
25 |
25 |
$97.39 |
| 90707 |
|
29 |
26 |
$95.77 |
| 90633 |
|
12 |
12 |
$70.09 |
| 90696 |
|
13 |
13 |
$31.07 |
| 91312 |
|
107 |
106 |
$0.91 |
| 91300 |
|
82 |
80 |
$0.72 |
| 91307 |
|
56 |
56 |
$0.49 |
| 90734 |
|
12 |
12 |
$0.11 |