| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,284 |
3,591 |
$470K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,722 |
3,078 |
$264K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
59 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
20 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
39 |
$2K |
| 90688 |
|
74 |
71 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$985.05 |
| 96127 |
|
196 |
184 |
$837.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
141 |
$638.38 |
| 90686 |
|
42 |
27 |
$599.62 |
| 3008F |
|
512 |
422 |
$226.97 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$27.50 |
| 3074F |
|
331 |
286 |
$20.00 |
| 3080F |
|
67 |
57 |
$0.01 |
| 3077F |
|
17 |
14 |
$0.00 |
| 3078F |
|
260 |
225 |
$0.00 |
| 3079F |
|
83 |
76 |
$0.00 |
| 3075F |
|
38 |
35 |
$0.00 |