| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,421 |
3,766 |
$177K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
288 |
218 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
751 |
444 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
344 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
432 |
349 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
122 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
98 |
$7K |
| 99382 |
|
75 |
74 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
565 |
398 |
$4K |
| 99383 |
|
53 |
37 |
$2K |
| 99384 |
|
25 |
18 |
$959.22 |
| 99215 |
Prolong outpt/office vis |
19 |
12 |
$929.32 |
| 92551 |
|
225 |
174 |
$817.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$392.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$335.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$335.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$256.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$254.79 |
| 99173 |
|
294 |
249 |
$196.37 |
| 0001A |
|
14 |
14 |
$100.00 |
| 0071A |
|
25 |
14 |
$80.00 |
| 0072A |
|
15 |
12 |
$60.00 |
| 96127 |
|
185 |
119 |
$49.12 |
| 96160 |
|
33 |
25 |
$42.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
68 |
65 |
$20.70 |
| 85018 |
|
66 |
37 |
$11.90 |
| 86580 |
|
29 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 99490 |
Ccm add 20min |
102 |
65 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |