| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,803 |
5,456 |
$263K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,066 |
1,045 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,687 |
1,511 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
829 |
816 |
$80K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,907 |
1,769 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
694 |
681 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,546 |
1,836 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,388 |
1,144 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
443 |
388 |
$33K |
| 99429 |
|
470 |
468 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
582 |
565 |
$8K |
| 90461 |
|
736 |
610 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$1K |
| 97169 |
|
40 |
38 |
$895.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$838.17 |
| 90688 |
|
505 |
500 |
$24.11 |
| 97803 |
|
1,308 |
1,282 |
$2.18 |
| 90651 |
|
162 |
160 |
$0.13 |
| 97802 |
|
27 |
27 |
$0.05 |
| 90734 |
|
62 |
61 |
$0.03 |
| 90715 |
|
28 |
27 |
$0.02 |
| 90687 |
|
41 |
41 |
$0.01 |
| 90680 |
|
13 |
12 |
$0.00 |
| 90670 |
|
44 |
43 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |