| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85018 |
|
47 |
12 |
$0.00 |
| 3008F |
|
748 |
356 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,952 |
813 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
753 |
298 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
260 |
$0.00 |
| 3074F |
|
307 |
163 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
31 |
$0.00 |
| 92551 |
|
92 |
42 |
$0.00 |
| 90686 |
|
34 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
377 |
140 |
$0.00 |
| 99188 |
|
341 |
135 |
$0.00 |
| 3078F |
|
280 |
144 |
$0.00 |
| 1160F |
|
622 |
282 |
$0.00 |
| 1159F |
|
622 |
281 |
$0.00 |
| 90670 |
|
21 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
43 |
$0.00 |
| 96160 |
|
731 |
272 |
$0.00 |
| 99173 |
|
88 |
40 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
51 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
13 |
$0.00 |