| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,784 |
6,291 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,168 |
2,049 |
$212K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
719 |
718 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
254 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
296 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
98 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 87428 |
|
77 |
74 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87400 |
|
14 |
14 |
$326.82 |
| 90686 |
|
403 |
403 |
$69.70 |
| 96160 |
|
67 |
67 |
$0.00 |