| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,732 |
3,507 |
$314K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,996 |
4,694 |
$309K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,008 |
1,002 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
618 |
617 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
712 |
656 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,056 |
1,051 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
204 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,806 |
1,756 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
552 |
537 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
66 |
$6K |
| 96127 |
|
1,734 |
1,688 |
$5K |
| 90686 |
|
614 |
609 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$3K |
| 98966 |
|
346 |
322 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
62 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
81 |
75 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
100 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
56 |
$968.04 |
| 83655 |
|
61 |
60 |
$591.77 |
| 90656 |
|
111 |
111 |
$447.00 |
| 80061 |
Lipid panel |
37 |
36 |
$431.28 |
| 90670 |
|
158 |
157 |
$230.14 |
| 90688 |
|
15 |
15 |
$196.24 |
| 99177 |
|
55 |
55 |
$110.90 |
| 36416 |
|
137 |
120 |
$53.14 |
| 3078F |
|
251 |
231 |
$0.00 |
| 90461 |
|
273 |
272 |
$0.00 |
| 1036F |
|
603 |
593 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,090 |
1,064 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 3079F |
|
63 |
57 |
$0.00 |
| 3074F |
|
323 |
292 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |