| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,970 |
5,101 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,641 |
1,534 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
957 |
922 |
$71K |
| 99173 |
|
1,109 |
1,052 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
807 |
752 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,948 |
2,659 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
403 |
$30K |
| 99442 |
|
680 |
576 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,332 |
971 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
695 |
593 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
473 |
420 |
$14K |
| 92551 |
|
1,192 |
1,130 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
71 |
$6K |
| 99072 |
|
240 |
203 |
$5K |
| 87807 |
|
386 |
355 |
$4K |
| 81002 |
|
1,729 |
1,616 |
$4K |
| 99443 |
|
63 |
60 |
$2K |
| 92587 |
|
15 |
14 |
$581.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$228.16 |
| 90633 |
|
16 |
16 |
$185.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
18 |
$62.86 |
| 99050 |
|
12 |
12 |
$31.00 |
| 3008F |
|
1,582 |
1,516 |
$0.37 |
| 2014F |
|
498 |
470 |
$0.06 |