| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,995 |
6,838 |
$694K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,383 |
1,191 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,209 |
1,004 |
$96K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
616 |
557 |
$91K |
| 95117 |
|
6,735 |
2,416 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
549 |
428 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,275 |
995 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,926 |
1,526 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
649 |
489 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,137 |
855 |
$14K |
| 97803 |
|
567 |
532 |
$12K |
| 97802 |
|
326 |
299 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22 |
13 |
$2K |
| 94761 |
|
478 |
318 |
$1K |
| 94760 |
|
370 |
309 |
$316.57 |
| 90749 |
|
14 |
12 |
$239.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$56.53 |
| 99401 |
|
79 |
76 |
$0.00 |