| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,430 |
1,964 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
755 |
640 |
$61K |
| 99401 |
|
1,425 |
1,157 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,189 |
1,074 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
212 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
155 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
131 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
866 |
788 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
104 |
97 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
879 |
659 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
808 |
321 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
234 |
$5K |
| 92587 |
|
285 |
269 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
103 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
128 |
103 |
$4K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99058 |
|
122 |
116 |
$2K |
| 88740 |
|
775 |
636 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
68 |
$1K |
| 99354 |
|
13 |
13 |
$1K |
| 98968 |
|
16 |
12 |
$351.40 |
| 96127 |
|
80 |
71 |
$318.69 |
| 87807 |
|
37 |
33 |
$229.04 |
| 90672 |
|
124 |
108 |
$0.00 |
| 90670 |
|
91 |
86 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90685 |
|
22 |
22 |
$0.00 |
| 90686 |
|
217 |
208 |
$0.00 |
| 90698 |
|
87 |
82 |
$0.00 |
| 90680 |
|
15 |
13 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |