| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,525 |
4,195 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,620 |
6,149 |
$267K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,774 |
6,369 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,588 |
1,490 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,638 |
1,436 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
802 |
769 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
188 |
185 |
$12K |
| 90686 |
|
1,105 |
1,029 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
170 |
$6K |
| 90698 |
|
580 |
548 |
$3K |
| 90670 |
|
479 |
457 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
101 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
133 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
260 |
249 |
$1K |
| 90707 |
|
95 |
72 |
$892.50 |
| 90633 |
|
38 |
38 |
$361.25 |
| 90672 |
|
13 |
13 |
$255.00 |
| 96127 |
|
59 |
53 |
$224.76 |
| 99173 |
|
125 |
125 |
$178.92 |
| 90656 |
|
52 |
49 |
$170.00 |
| 90671 |
|
71 |
67 |
$148.75 |
| 99177 |
|
12 |
12 |
$131.28 |
| 90716 |
|
49 |
48 |
$63.75 |
| 90680 |
|
117 |
103 |
$52.50 |
| 36416 |
|
12 |
12 |
$45.72 |
| 90660 |
|
15 |
14 |
$42.50 |
| 90461 |
|
2,212 |
2,071 |
$31.50 |
| 99072 |
|
536 |
512 |
$0.00 |
| 90685 |
|
32 |
31 |
$0.00 |
| 99000 |
|
317 |
310 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |