| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,437 |
4,087 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,129 |
1,935 |
$235K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,181 |
1,150 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,070 |
1,060 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
713 |
708 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
493 |
458 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,073 |
2,953 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
194 |
$16K |
| 99215 |
Prolong outpt/office vis |
55 |
53 |
$9K |
| 90686 |
|
690 |
653 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
307 |
$2K |
| 99188 |
|
302 |
291 |
$1K |
| 90700 |
|
716 |
700 |
$918.30 |
| 90648 |
|
319 |
310 |
$721.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$568.52 |
| 90633 |
|
132 |
129 |
$454.17 |
| 81002 |
|
171 |
171 |
$334.77 |
| 90651 |
|
92 |
92 |
$224.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
35 |
$136.30 |
| 90707 |
|
52 |
52 |
$116.04 |
| 90713 |
|
466 |
458 |
$96.04 |
| 85018 |
|
324 |
310 |
$70.85 |
| 90734 |
|
125 |
125 |
$48.02 |
| 90461 |
|
207 |
207 |
$48.01 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$22.35 |
| 91307 |
|
24 |
13 |
$0.04 |
| 90670 |
|
299 |
289 |
$0.00 |
| 99173 |
|
79 |
78 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90716 |
|
52 |
52 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 36416 |
|
195 |
183 |
$0.00 |
| 90680 |
|
82 |
82 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |