| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,568 |
9,202 |
$549K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,746 |
1,409 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,310 |
1,133 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,237 |
1,746 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
569 |
451 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,779 |
2,194 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
481 |
364 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
197 |
$11K |
| 90671 |
|
971 |
866 |
$7K |
| 99173 |
|
2,115 |
1,573 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
210 |
171 |
$7K |
| 90723 |
|
1,000 |
842 |
$7K |
| 90680 |
|
942 |
791 |
$6K |
| 90647 |
|
896 |
770 |
$6K |
| 92551 |
|
1,582 |
1,171 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
158 |
133 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
121 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
53 |
$3K |
| 87807 |
|
317 |
259 |
$3K |
| 83655 |
|
218 |
182 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
83 |
$2K |
| 90670 |
|
388 |
281 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$2K |
| 90633 |
|
260 |
225 |
$2K |
| 90461 |
|
79 |
29 |
$1K |
| 90707 |
|
167 |
138 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$1K |
| 90716 |
|
140 |
121 |
$952.00 |
| 90686 |
|
82 |
77 |
$765.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
42 |
$410.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$117.00 |
| 36416 |
|
195 |
118 |
$42.50 |
| 85014 |
|
97 |
78 |
$6.00 |