| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,037 |
12,687 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,345 |
1,203 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
789 |
758 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,427 |
1,312 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
370 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
57 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
42 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
39 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99051 |
|
23 |
12 |
$180.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,211 |
1,996 |
$129.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,454 |
1,314 |
$46.64 |
| 92552 |
|
529 |
486 |
$24.63 |
| 99173 |
|
660 |
609 |
$2.12 |
| 90686 |
|
429 |
403 |
$0.99 |
| 90677 |
|
298 |
260 |
$0.75 |
| 90680 |
|
377 |
329 |
$0.47 |
| 90633 |
|
164 |
140 |
$0.11 |
| 90710 |
|
31 |
29 |
$0.08 |
| 90696 |
|
27 |
25 |
$0.06 |
| 90700 |
|
13 |
12 |
$0.03 |
| 90697 |
|
365 |
313 |
$0.00 |
| 90474 |
|
371 |
325 |
$0.00 |
| 90656 |
|
45 |
45 |
$0.00 |
| 90698 |
|
103 |
95 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90651 |
|
54 |
50 |
$0.00 |
| 85018 |
|
116 |
107 |
$0.00 |
| 90619 |
|
31 |
28 |
$0.00 |
| 87428 |
|
34 |
34 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
614 |
391 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
407 |
363 |
$0.00 |
| 90715 |
|
33 |
30 |
$0.00 |
| 90670 |
|
430 |
389 |
$0.00 |
| 90648 |
|
31 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
109 |
$0.00 |
| 90707 |
|
17 |
12 |
$0.00 |