| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,990 |
11,128 |
$568K |
| 96112 |
|
2,805 |
2,478 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,797 |
2,642 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,581 |
2,208 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,634 |
1,571 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,765 |
1,675 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,720 |
2,452 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,665 |
4,346 |
$63K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,209 |
2,966 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
513 |
377 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
179 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
491 |
381 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
999 |
413 |
$10K |
| 87634 |
|
216 |
163 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
211 |
171 |
$9K |
| 92551 |
|
1,179 |
1,125 |
$9K |
| 90474 |
|
788 |
748 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
567 |
459 |
$6K |
| 99177 |
|
3,176 |
2,761 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
73 |
$3K |
| 90473 |
|
193 |
188 |
$2K |
| 96127 |
|
813 |
702 |
$1K |
| 90647 |
|
662 |
602 |
$1K |
| 99188 |
|
51 |
51 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
62 |
$926.28 |
| 99381 |
|
14 |
12 |
$908.82 |
| 83655 |
|
32 |
25 |
$313.04 |
| 85018 |
|
71 |
62 |
$160.48 |
| 90697 |
|
331 |
298 |
$155.00 |
| 90671 |
|
291 |
261 |
$75.89 |
| 81002 |
|
27 |
26 |
$66.04 |
| 90686 |
|
929 |
848 |
$60.09 |
| 99173 |
|
33 |
31 |
$35.97 |
| 94760 |
|
52 |
41 |
$35.04 |
| 81003 |
|
15 |
15 |
$33.24 |
| 96160 |
|
117 |
112 |
$15.84 |
| 90633 |
|
565 |
502 |
$1.63 |
| 90651 |
|
12 |
12 |
$0.05 |
| 90670 |
|
1,458 |
1,270 |
$0.00 |
| 90685 |
|
73 |
65 |
$0.00 |
| 90672 |
|
231 |
219 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90710 |
|
45 |
40 |
$0.00 |
| 90681 |
|
119 |
99 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90680 |
|
708 |
640 |
$0.00 |
| 90723 |
|
689 |
614 |
$0.00 |
| 96111 |
|
471 |
382 |
$0.00 |
| 90674 |
|
77 |
73 |
$0.00 |
| 90696 |
|
29 |
26 |
$0.00 |