| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,184 |
11,254 |
$2.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,997 |
6,685 |
$1.54M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,038 |
1,037 |
$254K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
903 |
903 |
$224K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
553 |
553 |
$138K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,469 |
1,443 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,030 |
1,013 |
$29K |
| 87428 |
|
715 |
703 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$20K |
| 81003 |
|
291 |
279 |
$4K |
| 90474 |
|
242 |
232 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
55 |
$4K |
| 99460 |
|
36 |
36 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87807 |
|
139 |
138 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
49 |
$724.69 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$700.68 |
| 90686 |
|
179 |
179 |
$596.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$397.44 |
| 90677 |
|
112 |
112 |
$0.00 |
| 90680 |
|
89 |
89 |
$0.00 |
| 90697 |
|
104 |
104 |
$0.00 |
| 90647 |
|
161 |
161 |
$0.00 |
| 90723 |
|
87 |
87 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90670 |
|
471 |
471 |
$0.00 |
| 90710 |
|
67 |
67 |
$0.00 |
| 90633 |
|
56 |
56 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 90681 |
|
146 |
146 |
$0.00 |