| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,002 |
6,366 |
$438K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,158 |
1,973 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
540 |
538 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
368 |
340 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
303 |
303 |
$19K |
| 87428 |
|
245 |
240 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
126 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,528 |
2,487 |
$6K |
| 90686 |
|
894 |
885 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
93 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,200 |
1,186 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
263 |
$3K |
| 91300 |
|
64 |
35 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
675 |
647 |
$1K |
| 90473 |
|
96 |
96 |
$870.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
495 |
241 |
$736.48 |
| 81003 |
|
61 |
56 |
$118.00 |
| 90651 |
|
43 |
43 |
$83.04 |
| 85013 |
|
12 |
12 |
$6.46 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90680 |
|
91 |
91 |
$0.00 |
| 90619 |
|
28 |
28 |
$0.00 |
| 90697 |
|
75 |
75 |
$0.00 |
| 0001A |
|
37 |
22 |
$0.00 |
| 90671 |
|
129 |
129 |
$0.00 |
| 90670 |
|
75 |
74 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |