| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
909 |
828 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
449 |
405 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
341 |
285 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
818 |
680 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
223 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
76 |
$7K |
| 99381 |
|
54 |
46 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
25 |
$3K |
| 99460 |
|
28 |
25 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
22 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
50 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
79 |
$908.09 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
18 |
$872.27 |
| 94760 |
|
409 |
382 |
$748.03 |
| 36416 |
|
242 |
208 |
$701.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$401.37 |
| 85018 |
|
28 |
27 |
$59.54 |
| 81002 |
|
32 |
25 |
$58.32 |
| 87999 |
|
77 |
77 |
$40.30 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
32 |
25 |
$0.13 |
| 99000 |
|
205 |
180 |
$0.00 |
| 90680 |
|
56 |
44 |
$0.00 |
| 90686 |
|
154 |
151 |
$0.00 |
| 90723 |
|
63 |
51 |
$0.00 |
| 97803 |
|
309 |
272 |
$0.00 |
| 90648 |
|
96 |
82 |
$0.00 |
| 90670 |
|
103 |
89 |
$0.00 |
| 90633 |
|
32 |
28 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| 99173 |
|
34 |
27 |
$0.00 |