| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,613 |
8,099 |
$454K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,440 |
3,346 |
$134K |
| 90461 |
|
863 |
783 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
208 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
469 |
414 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
119 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
121 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
119 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
460 |
349 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
208 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
143 |
$2K |
| 94760 |
|
977 |
922 |
$830.24 |
| 99177 |
|
108 |
108 |
$469.71 |
| 85018 |
|
153 |
151 |
$372.08 |
| 90686 |
|
1,136 |
1,040 |
$92.07 |
| 36416 |
|
329 |
285 |
$21.59 |
| 99072 |
|
245 |
210 |
$0.00 |
| 90670 |
|
67 |
66 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90656 |
|
113 |
105 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |