| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,633 |
3,234 |
$205K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,041 |
871 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
594 |
582 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
602 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
229 |
$24K |
| 87428 |
|
373 |
350 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
246 |
243 |
$17K |
| 90461 |
|
278 |
263 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
643 |
628 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,093 |
1,080 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
462 |
428 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
29 |
27 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
104 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$1K |
| 99442 |
|
30 |
29 |
$869.10 |
| 99051 |
|
38 |
37 |
$805.43 |
| 90473 |
|
74 |
72 |
$792.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
93 |
92 |
$569.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$362.91 |
| 88720 |
|
15 |
12 |
$44.24 |
| 90686 |
|
15 |
15 |
$0.75 |