| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,951 |
5,430 |
$433K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
97 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,182 |
1,124 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
215 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
95 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$811.10 |
| 90461 |
|
15 |
14 |
$548.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$434.46 |
| 92552 |
|
27 |
27 |
$415.79 |
| 90480 |
|
12 |
12 |
$410.01 |
| 99051 |
|
12 |
12 |
$240.00 |