| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,545 |
35,036 |
$2.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,377 |
3,223 |
$204K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,648 |
2,612 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,382 |
2,362 |
$128K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,510 |
3,448 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,094 |
2,062 |
$114K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,911 |
7,809 |
$93K |
| 99401 |
|
3,540 |
3,217 |
$73K |
| 92551 |
|
4,628 |
4,577 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
599 |
584 |
$32K |
| 90697 |
|
112 |
111 |
$11K |
| 90658 |
|
1,867 |
1,853 |
$9K |
| 97803 |
|
6,247 |
6,156 |
$7K |
| 90733 |
|
351 |
339 |
$7K |
| 90620 |
|
209 |
207 |
$6K |
| 90649 |
|
133 |
127 |
$6K |
| 99442 |
|
215 |
189 |
$4K |
| 0071A |
|
62 |
61 |
$3K |
| 90670 |
|
348 |
328 |
$2K |
| 90686 |
|
250 |
250 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 0072A |
|
24 |
24 |
$977.55 |
| 0002A |
|
20 |
20 |
$800.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$735.81 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$718.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$569.26 |
| 90716 |
|
36 |
33 |
$497.40 |
| 99173 |
|
464 |
463 |
$396.14 |
| 90707 |
|
35 |
32 |
$276.53 |
| 90657 |
|
238 |
236 |
$254.31 |
| 90715 |
|
41 |
41 |
$203.85 |
| 97802 |
|
2,618 |
2,409 |
$184.63 |
| 86580 |
|
41 |
41 |
$165.19 |
| 99421 |
|
28 |
28 |
$131.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$123.35 |
| 3008F |
|
73 |
73 |
$80.00 |
| 90633 |
|
39 |
38 |
$77.20 |
| 91307 |
|
126 |
114 |
$35.00 |
| 90710 |
|
12 |
12 |
$0.00 |