| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,982 |
6,221 |
$465K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,478 |
3,434 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,138 |
1,136 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,226 |
1,185 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,085 |
1,015 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
408 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,288 |
2,978 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
163 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
759 |
388 |
$8K |
| 87070 |
|
1,600 |
1,500 |
$7K |
| 99051 |
|
981 |
916 |
$6K |
| 87184 |
|
1,599 |
1,499 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
125 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
275 |
262 |
$5K |
| 85013 |
|
1,627 |
1,620 |
$4K |
| 92551 |
|
191 |
191 |
$1K |
| 99050 |
|
131 |
125 |
$1K |
| 99173 |
|
101 |
101 |
$257.21 |
| 36416 |
|
1,285 |
1,278 |
$1.92 |