| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,532 |
2,909 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
454 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,222 |
1,136 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,206 |
1,164 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
105 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
486 |
472 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
89 |
$6K |
| 92551 |
|
811 |
781 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
81 |
$6K |
| 99188 |
|
342 |
267 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
81 |
$2K |
| 99173 |
|
797 |
766 |
$1K |
| 90473 |
|
127 |
116 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
26 |
$819.52 |
| 90474 |
|
18 |
15 |
$136.95 |
| 90686 |
|
251 |
245 |
$0.00 |
| 90672 |
|
173 |
167 |
$0.00 |