| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,404 |
1,301 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,104 |
1,067 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,747 |
2,481 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,670 |
3,318 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
707 |
685 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,349 |
2,196 |
$60K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
624 |
549 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
897 |
858 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
181 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,597 |
2,528 |
$16K |
| 87428 |
|
88 |
83 |
$13K |
| 97802 |
|
1,743 |
1,681 |
$13K |
| 99215 |
Prolong outpt/office vis |
140 |
131 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
144 |
137 |
$8K |
| 87807 |
|
450 |
443 |
$7K |
| 99173 |
|
1,525 |
1,440 |
$4K |
| 90686 |
|
634 |
627 |
$3K |
| 99460 |
|
33 |
32 |
$3K |
| 90723 |
|
514 |
505 |
$956.33 |
| 99499 |
|
226 |
207 |
$858.23 |
| 90670 |
|
950 |
933 |
$275.33 |
| 90633 |
|
360 |
349 |
$254.56 |
| 90648 |
|
804 |
796 |
$231.36 |
| 99188 |
|
12 |
12 |
$190.50 |
| 99462 |
|
49 |
34 |
$154.88 |
| 90700 |
|
110 |
109 |
$146.84 |
| 90716 |
|
276 |
264 |
$88.76 |
| 90707 |
|
146 |
144 |
$10.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90680 |
|
556 |
547 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,775 |
1,667 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |