| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,017 |
3,485 |
$193K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
816 |
662 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
162 |
$10K |
| 87428 |
|
113 |
110 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
65 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
483 |
469 |
$4K |
| 99051 |
|
136 |
130 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
22 |
15 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
36 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$183.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
13 |
$159.29 |
| 96127 |
|
17 |
17 |
$35.30 |