| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,459 |
13,550 |
$868K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,227 |
7,891 |
$720K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,542 |
1,060 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,542 |
2,538 |
$224K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,851 |
1,806 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,587 |
5,234 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
923 |
923 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
688 |
682 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,228 |
1,163 |
$47K |
| 90461 |
|
2,377 |
2,085 |
$21K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
142 |
136 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,076 |
530 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
748 |
733 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
107 |
107 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
78 |
$2K |
| 96127 |
|
127 |
126 |
$639.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
154 |
$586.02 |
| 92587 |
|
37 |
37 |
$517.14 |
| 99442 |
|
21 |
18 |
$511.05 |
| 99174 |
|
12 |
12 |
$38.49 |
| 90723 |
|
818 |
781 |
$0.00 |
| 90680 |
|
396 |
395 |
$0.00 |
| 90696 |
|
61 |
59 |
$0.00 |
| 90647 |
|
726 |
686 |
$0.00 |
| 90686 |
|
731 |
669 |
$0.00 |
| 90651 |
|
257 |
235 |
$0.00 |
| 90620 |
|
36 |
25 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 90670 |
|
732 |
690 |
$0.00 |
| 90710 |
|
215 |
206 |
$0.00 |
| 90633 |
|
575 |
548 |
$0.00 |
| 90734 |
|
313 |
305 |
$0.00 |
| 90715 |
|
114 |
114 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |