| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,661 |
1,490 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
390 |
378 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
370 |
346 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
324 |
319 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
390 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
194 |
$19K |
| 90686 |
|
406 |
371 |
$8K |
| 99173 |
|
1,261 |
1,180 |
$3K |
| 96160 |
|
832 |
805 |
$2K |
| 90670 |
|
99 |
97 |
$2K |
| 90698 |
|
71 |
70 |
$2K |
| 0071A |
|
32 |
32 |
$1K |
| 90688 |
|
72 |
70 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
50 |
$915.12 |
| 90651 |
|
39 |
39 |
$907.92 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$736.00 |
| 0072A |
|
13 |
13 |
$520.00 |
| 90633 |
|
14 |
14 |
$346.80 |
| 90680 |
|
13 |
13 |
$302.64 |
| 90715 |
|
12 |
12 |
$279.36 |
| 90648 |
|
14 |
13 |
$279.36 |
| 90734 |
|
12 |
12 |
$279.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$278.97 |
| 90744 |
|
12 |
12 |
$256.08 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
46 |
$170.83 |
| 99072 |
|
240 |
223 |
$108.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
110 |
$80.00 |
| 96127 |
|
15 |
15 |
$61.23 |
| 96161 |
|
22 |
21 |
$44.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |