| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,429 |
5,374 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
910 |
878 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
609 |
590 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,025 |
948 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,504 |
2,074 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
766 |
668 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
518 |
501 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
864 |
792 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
557 |
514 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
90 |
$8K |
| 0072A |
|
77 |
76 |
$2K |
| 90461 |
|
535 |
450 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 0053A |
|
51 |
48 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90480 |
|
14 |
14 |
$460.50 |
| 90473 |
|
14 |
14 |
$211.82 |
| 90686 |
|
737 |
715 |
$85.17 |
| 81000 |
|
17 |
17 |
$63.24 |
| 90685 |
|
102 |
102 |
$20.31 |
| 90656 |
|
193 |
192 |
$0.01 |
| 90715 |
|
32 |
32 |
$0.01 |
| 90698 |
|
121 |
117 |
$0.00 |
| 90651 |
|
80 |
80 |
$0.00 |
| 90619 |
|
108 |
103 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 91307 |
|
189 |
176 |
$0.00 |
| 91305 |
|
129 |
113 |
$0.00 |
| 90660 |
|
17 |
17 |
$0.00 |
| 90670 |
|
137 |
131 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |