| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,699 |
8,605 |
$772K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,381 |
3,205 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,398 |
2,398 |
$246K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,365 |
2,365 |
$243K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,386 |
1,385 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,476 |
1,476 |
$143K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
740 |
701 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,991 |
3,981 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,582 |
1,582 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
290 |
289 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,927 |
1,927 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
582 |
576 |
$13K |
| 83655 |
|
359 |
359 |
$5K |
| 99177 |
|
3,756 |
3,754 |
$1K |
| 90474 |
|
217 |
217 |
$1K |
| 99051 |
|
125 |
119 |
$886.00 |
| 85018 |
|
335 |
335 |
$675.13 |
| 87634 |
|
27 |
27 |
$622.31 |
| 69210 |
|
14 |
13 |
$609.44 |
| 90651 |
|
71 |
71 |
$320.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$277.55 |
| 90686 |
|
1,421 |
1,419 |
$156.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$57.90 |
| 90681 |
|
195 |
195 |
$0.00 |
| 90670 |
|
1,141 |
1,141 |
$0.00 |
| 90461 |
|
627 |
627 |
$0.00 |
| 90710 |
|
272 |
272 |
$0.00 |
| 90734 |
|
98 |
98 |
$0.00 |
| 90633 |
|
298 |
298 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90723 |
|
607 |
607 |
$0.00 |
| 90647 |
|
703 |
703 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |