| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,355 |
7,694 |
$983K |
| 99441 |
|
4,479 |
3,454 |
$270K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
794 |
793 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
632 |
629 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
677 |
659 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
480 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
357 |
330 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,019 |
935 |
$32K |
| 99442 |
|
291 |
270 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,519 |
2,479 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,510 |
748 |
$21K |
| 92552 |
|
884 |
881 |
$18K |
| 94762 |
|
2,933 |
2,466 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
519 |
485 |
$17K |
| 69210 |
|
299 |
293 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,441 |
3,127 |
$14K |
| 87081 |
|
2,541 |
2,294 |
$13K |
| 87501 |
|
172 |
149 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
319 |
304 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
94 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$6K |
| 99401 |
|
332 |
318 |
$2K |
| 87807 |
|
162 |
156 |
$2K |
| 92587 |
|
41 |
41 |
$2K |
| 99201 |
|
25 |
25 |
$1K |
| 92551 |
|
178 |
178 |
$1K |
| 87184 |
|
133 |
126 |
$876.47 |
| 90677 |
|
12 |
12 |
$804.72 |
| 83655 |
|
55 |
55 |
$659.75 |
| 87634 |
|
18 |
18 |
$409.42 |
| 90686 |
|
317 |
317 |
$252.00 |
| 85018 |
|
112 |
112 |
$222.90 |
| 99173 |
|
873 |
869 |
$99.39 |
| 87420 |
|
24 |
24 |
$8.03 |
| 94760 |
|
44 |
37 |
$1.56 |
| 99000 |
|
2,546 |
2,257 |
$0.02 |
| 90461 |
|
896 |
896 |
$0.00 |
| 90670 |
|
369 |
369 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
40 |
40 |
$0.00 |
| 90672 |
|
135 |
135 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90744 |
|
201 |
201 |
$0.00 |
| 97802 |
|
25 |
25 |
$0.00 |
| 36416 |
|
193 |
186 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
112 |
$0.00 |
| 90698 |
|
131 |
131 |
$0.00 |