| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,299 |
1,949 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
667 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
543 |
481 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
333 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
37 |
$3K |
| 90686 |
|
92 |
92 |
$2K |
| 90688 |
|
107 |
102 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
711 |
685 |
$677.33 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
45 |
$603.35 |
| 90698 |
|
83 |
80 |
$572.35 |
| 90670 |
|
232 |
227 |
$435.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,340 |
1,283 |
$425.74 |
| 90685 |
|
27 |
26 |
$226.98 |
| 90474 |
|
70 |
68 |
$0.00 |
| 90680 |
|
71 |
68 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |