| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,124 |
5,340 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
904 |
885 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
750 |
739 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,273 |
2,939 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
549 |
510 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
419 |
416 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
277 |
264 |
$13K |
| 86328 |
|
262 |
256 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
317 |
294 |
$9K |
| 90461 |
|
1,254 |
1,068 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
70 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
132 |
$2K |
| 0072A |
|
48 |
48 |
$2K |
| 0071A |
|
17 |
17 |
$320.00 |
| 90686 |
|
867 |
851 |
$19.60 |
| 90621 |
|
15 |
15 |
$0.01 |
| 90656 |
|
100 |
100 |
$0.00 |
| 90698 |
|
353 |
346 |
$0.00 |
| 90680 |
|
123 |
122 |
$0.00 |
| 90651 |
|
72 |
72 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 91307 |
|
83 |
75 |
$0.00 |
| 91305 |
|
17 |
16 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90670 |
|
385 |
372 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90685 |
|
205 |
197 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90734 |
|
63 |
63 |
$0.00 |
| 90710 |
|
64 |
64 |
$0.00 |
| 90633 |
|
62 |
62 |
$0.00 |