| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,290 |
1,105 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
217 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
235 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
146 |
$9K |
| 99381 |
|
67 |
64 |
$7K |
| 92587 |
|
228 |
210 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
313 |
284 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
34 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
369 |
336 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
218 |
121 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
17 |
$265.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
46 |
$240.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
31 |
$208.40 |
| 85018 |
|
96 |
86 |
$100.59 |
| 90473 |
|
14 |
14 |
$77.00 |
| 90633 |
|
53 |
51 |
$0.01 |
| 90656 |
|
77 |
76 |
$0.00 |
| 99174 |
|
119 |
108 |
$0.00 |
| 3008F |
|
1,473 |
1,315 |
$0.00 |
| 90677 |
|
160 |
147 |
$0.00 |
| 1036F |
|
130 |
114 |
$0.00 |
| 3074F |
|
998 |
899 |
$0.00 |
| 90723 |
|
93 |
90 |
$0.00 |
| 88720 |
|
33 |
30 |
$0.00 |
| 99000 |
|
61 |
56 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 3078F |
|
984 |
887 |
$0.00 |
| 90648 |
|
173 |
156 |
$0.00 |
| 3725F |
|
182 |
174 |
$0.00 |
| 90681 |
|
40 |
39 |
$0.00 |
| 90734 |
|
15 |
13 |
$0.00 |
| 99173 |
|
36 |
31 |
$0.00 |