| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,404 |
5,217 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,599 |
1,546 |
$141K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,743 |
1,724 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
577 |
574 |
$11K |
| 90686 |
|
862 |
861 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
358 |
174 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
72 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
62 |
$907.79 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$856.52 |
| 90656 |
|
64 |
64 |
$611.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
64 |
$465.59 |
| 99051 |
|
325 |
315 |
$104.75 |
| 90688 |
|
19 |
19 |
$60.52 |
| 87999 |
|
63 |
63 |
$30.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |