| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,210 |
27,925 |
$1.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,625 |
5,017 |
$500K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,547 |
4,383 |
$494K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,401 |
3,311 |
$411K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,662 |
2,499 |
$322K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,727 |
2,659 |
$307K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,045 |
3,805 |
$306K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,959 |
12,240 |
$68K |
| 90670 |
|
1,719 |
1,675 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,760 |
4,457 |
$24K |
| 90716 |
|
576 |
570 |
$22K |
| 90651 |
|
771 |
745 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,986 |
2,771 |
$8K |
| 86580 |
|
7,453 |
7,223 |
$8K |
| 90620 |
|
942 |
896 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,790 |
1,606 |
$5K |
| 90461 |
|
3,644 |
3,178 |
$4K |
| 0071A |
|
101 |
93 |
$760.00 |
| 0072A |
|
66 |
56 |
$560.00 |
| 87807 |
|
170 |
166 |
$366.09 |
| 90674 |
|
74 |
73 |
$230.79 |
| 99051 |
|
1,200 |
1,111 |
$189.67 |
| 90734 |
|
121 |
121 |
$185.68 |
| 90686 |
|
2,302 |
2,222 |
$159.46 |
| 90700 |
|
2,539 |
2,473 |
$150.88 |
| 90713 |
|
2,612 |
2,544 |
$132.89 |
| 90647 |
|
1,837 |
1,790 |
$105.00 |
| 90633 |
|
835 |
813 |
$50.00 |
| 90680 |
|
1,046 |
1,022 |
$25.00 |
| 81000 |
|
152 |
147 |
$7.29 |
| 94760 |
|
614 |
557 |
$0.00 |
| 90744 |
|
473 |
452 |
$0.00 |
| 91307 |
|
103 |
79 |
$0.00 |
| 90656 |
|
50 |
50 |
$0.00 |
| 99070 |
|
1,400 |
1,260 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90707 |
|
400 |
395 |
$0.00 |
| 90685 |
|
195 |
181 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |