| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,778 |
1,500 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
451 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
326 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
779 |
663 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
40 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
119 |
107 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
150 |
$3K |
| 90688 |
|
149 |
131 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 92551 |
|
74 |
70 |
$947.13 |
| 99173 |
|
260 |
240 |
$871.86 |
| 90686 |
|
138 |
135 |
$670.30 |
| 99051 |
|
27 |
25 |
$334.83 |
| 99000 |
|
96 |
79 |
$242.25 |
| 96127 |
|
26 |
24 |
$112.24 |
| 36416 |
|
17 |
16 |
$0.00 |
| 90656 |
|
63 |
63 |
$0.00 |
| 99072 |
|
402 |
380 |
$0.00 |
| 99080 |
|
17 |
17 |
$0.00 |