| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,146 |
18,170 |
$814K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,181 |
2,122 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,266 |
2,213 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,708 |
1,666 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,417 |
1,378 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,431 |
4,939 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
348 |
$19K |
| 90461 |
|
2,774 |
2,311 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
779 |
385 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
226 |
221 |
$11K |
| 99381 |
|
111 |
105 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
494 |
482 |
$7K |
| 99429 |
|
25 |
25 |
$905.65 |
| 87807 |
|
44 |
44 |
$510.51 |
| 81002 |
|
14 |
14 |
$41.11 |
| 90686 |
|
1,707 |
1,702 |
$0.82 |
| 90734 |
|
184 |
182 |
$0.10 |
| 90651 |
|
178 |
176 |
$0.07 |
| 90681 |
|
473 |
462 |
$0.07 |
| 90677 |
|
215 |
186 |
$0.05 |
| 90619 |
|
156 |
149 |
$0.04 |
| 90696 |
|
114 |
113 |
$0.04 |
| 90710 |
|
180 |
179 |
$0.04 |
| 90670 |
|
1,042 |
1,040 |
$0.02 |
| 90620 |
|
92 |
90 |
$0.01 |
| 90715 |
|
105 |
103 |
$0.01 |
| 90698 |
|
381 |
381 |
$0.00 |
| 90723 |
|
322 |
320 |
$0.00 |
| 97802 |
|
839 |
814 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90697 |
|
197 |
184 |
$0.00 |
| 90671 |
|
257 |
257 |
$0.00 |
| 90633 |
|
712 |
703 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90648 |
|
378 |
376 |
$0.00 |