| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,635 |
5,949 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,160 |
1,119 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,779 |
1,778 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
538 |
538 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
474 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
495 |
469 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
216 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
626 |
603 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
577 |
557 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
335 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$6K |
| 87430 |
|
352 |
336 |
$5K |
| 87428 |
|
159 |
154 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$2K |
| 87807 |
|
100 |
92 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$594.57 |
| 87400 |
|
20 |
20 |
$232.91 |
| 90686 |
|
352 |
352 |
$2.00 |
| 90656 |
|
14 |
14 |
$0.01 |
| 90698 |
|
70 |
70 |
$0.00 |
| 90677 |
|
32 |
32 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90670 |
|
145 |
145 |
$0.00 |
| 96160 |
|
118 |
118 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |