| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,919 |
5,446 |
$428K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,342 |
5,742 |
$345K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
521 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
573 |
545 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
231 |
190 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
203 |
189 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
385 |
356 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
848 |
423 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
98 |
94 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
65 |
$5K |
| 87634 |
|
59 |
58 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
78 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
249 |
227 |
$3K |
| 99406 |
|
490 |
419 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
67 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$939.04 |
| 90686 |
|
152 |
148 |
$818.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
936 |
910 |
$807.70 |
| 90670 |
|
79 |
78 |
$307.67 |
| 90674 |
|
13 |
12 |
$262.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
452 |
447 |
$202.00 |
| 83655 |
|
17 |
17 |
$191.35 |
| 87807 |
|
16 |
16 |
$179.44 |
| 81003 |
|
30 |
28 |
$40.38 |
| 85018 |
|
17 |
17 |
$37.47 |
| 90633 |
|
12 |
12 |
$11.00 |
| 90723 |
|
13 |
12 |
$0.00 |