| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,101 |
10,801 |
$479K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,785 |
1,773 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,469 |
1,463 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,126 |
2,006 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
959 |
952 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,539 |
4,249 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,476 |
4,380 |
$45K |
| 87428 |
|
608 |
586 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,138 |
1,701 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
226 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
313 |
303 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
920 |
437 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
522 |
439 |
$6K |
| 90686 |
|
1,844 |
1,821 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$998.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
185 |
162 |
$27.22 |
| 90648 |
|
113 |
112 |
$17.50 |
| 90670 |
|
209 |
204 |
$17.50 |
| 90715 |
|
52 |
52 |
$0.00 |
| 90707 |
|
84 |
83 |
$0.00 |
| 90658 |
|
301 |
299 |
$0.00 |
| 90734 |
|
166 |
164 |
$0.00 |
| 90700 |
|
449 |
444 |
$0.00 |
| 90713 |
|
254 |
252 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90649 |
|
140 |
140 |
$0.00 |
| 90716 |
|
76 |
76 |
$0.00 |
| 90651 |
|
184 |
184 |
$0.00 |
| 90619 |
|
28 |
28 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |