| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,497 |
6,000 |
$358K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,589 |
3,439 |
$282K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
873 |
867 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
848 |
844 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
274 |
264 |
$19K |
| 99443 |
|
228 |
199 |
$11K |
| 90756 |
|
310 |
309 |
$7K |
| 99442 |
|
133 |
118 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$4K |
| 99406 |
|
263 |
254 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
314 |
$2K |
| 93000 |
|
100 |
100 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
168 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
24 |
$761.32 |
| 99441 |
|
35 |
33 |
$621.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
19 |
$364.80 |
| 90461 |
|
24 |
24 |
$30.00 |
| 90686 |
|
28 |
28 |
$20.03 |
| 99080 |
|
878 |
729 |
$0.00 |