| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,454 |
2,885 |
$214K |
| 99199 |
Unlisted special service, procedure or report |
32,845 |
20,433 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,619 |
2,172 |
$129K |
| 99401 |
|
897 |
664 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
872 |
705 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
90 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
463 |
371 |
$7K |
| 96127 |
|
991 |
709 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
507 |
275 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
326 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
111 |
69 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
39 |
$3K |
| 99070 |
|
825 |
557 |
$3K |
| 90686 |
|
558 |
444 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
25 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$973.98 |
| 99408 |
|
75 |
52 |
$841.78 |
| 96160 |
|
359 |
199 |
$820.62 |
| G9919 |
Screening performed and positive and provision of recommendations |
23 |
23 |
$688.60 |
| 99407 |
|
43 |
38 |
$568.92 |
| 90682 |
|
20 |
14 |
$545.15 |
| 90688 |
|
138 |
120 |
$473.60 |
| 90756 |
|
25 |
24 |
$459.80 |
| 81002 |
|
109 |
92 |
$209.69 |
| 99173 |
|
345 |
262 |
$59.76 |
| 99000 |
|
397 |
317 |
$0.00 |
| 99072 |
|
172 |
124 |
$0.00 |