| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,211 |
3,607 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,644 |
1,518 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
845 |
838 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
831 |
822 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
353 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
339 |
329 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,070 |
525 |
$11K |
| 87430 |
|
1,050 |
1,029 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,087 |
470 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,100 |
1,074 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
254 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
67 |
$5K |
| 99000 |
|
347 |
331 |
$4K |
| 81000 |
|
682 |
647 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
84 |
$694.79 |
| 96160 |
|
57 |
57 |
$138.86 |
| 90658 |
|
540 |
531 |
$0.24 |
| 90734 |
|
111 |
108 |
$0.03 |
| 90651 |
|
153 |
153 |
$0.01 |
| 90648 |
|
64 |
63 |
$0.00 |
| 90713 |
|
92 |
91 |
$0.00 |
| 90700 |
|
196 |
193 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90732 |
|
76 |
75 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,356 |
1,291 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 97802 |
|
117 |
117 |
$0.00 |