| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,259 |
5,742 |
$220K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,292 |
2,227 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
328 |
319 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
299 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
348 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
745 |
726 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
175 |
$12K |
| 90686 |
|
1,206 |
1,175 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
191 |
182 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
88 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$587.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
27 |
$384.35 |
| 90670 |
|
83 |
83 |
$205.12 |
| 90474 |
|
13 |
13 |
$74.77 |
| 99177 |
|
13 |
13 |
$35.20 |
| 90647 |
|
28 |
27 |
$26.28 |
| 90715 |
|
14 |
12 |
$0.01 |
| 90734 |
|
15 |
13 |
$0.01 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |