| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,595 |
3,221 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,745 |
3,353 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
800 |
779 |
$58K |
| 87428 |
|
720 |
686 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
549 |
519 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,776 |
1,330 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,974 |
1,816 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
142 |
$11K |
| 90461 |
|
970 |
855 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
114 |
106 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
318 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
136 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 87807 |
|
61 |
55 |
$456.42 |
| 90686 |
|
624 |
612 |
$0.01 |
| 90680 |
|
111 |
110 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90698 |
|
75 |
75 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90670 |
|
404 |
393 |
$0.00 |
| 90671 |
|
108 |
91 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 99173 |
|
18 |
18 |
$0.00 |
| 90633 |
|
77 |
76 |
$0.00 |