| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,682 |
8,494 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,112 |
4,036 |
$178K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,659 |
6,498 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,981 |
1,978 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
785 |
784 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,605 |
1,604 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
160 |
$10K |
| 0072A |
|
223 |
223 |
$8K |
| 0071A |
|
188 |
188 |
$7K |
| 96127 |
|
674 |
670 |
$3K |
| 0002A |
|
67 |
67 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$2K |
| G9007 |
Coordinated care fee, scheduled team conference |
22 |
21 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
65 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
40 |
$2K |
| 90686 |
|
2,966 |
2,962 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
152 |
148 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
285 |
280 |
$1K |
| 0001A |
|
25 |
25 |
$880.21 |
| 90656 |
|
93 |
92 |
$791.69 |
| 90480 |
|
12 |
12 |
$429.56 |
| 99051 |
|
25 |
25 |
$69.64 |
| 99441 |
|
13 |
13 |
$27.32 |
| 99072 |
|
6,856 |
6,692 |
$4.26 |
| 91307 |
|
508 |
498 |
$0.00 |
| 99070 |
|
306 |
259 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 99499 |
|
275 |
270 |
$0.00 |
| 99080 |
|
935 |
921 |
$0.00 |
| 91300 |
|
193 |
174 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |