| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,043 |
2,397 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,288 |
2,758 |
$184K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
833 |
773 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
566 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,395 |
2,953 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
469 |
440 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
517 |
471 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,952 |
2,703 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,328 |
1,229 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,483 |
1,260 |
$21K |
| 90670 |
|
318 |
294 |
$9K |
| 90651 |
|
102 |
100 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
38 |
38 |
$5K |
| 90686 |
|
836 |
768 |
$4K |
| 90688 |
|
114 |
107 |
$2K |
| 90723 |
|
116 |
106 |
$2K |
| 90734 |
|
75 |
70 |
$1K |
| 90710 |
|
42 |
40 |
$1K |
| 90620 |
|
12 |
12 |
$580.37 |
| 90633 |
|
58 |
57 |
$432.44 |
| 90685 |
|
16 |
16 |
$303.47 |
| 90715 |
|
12 |
12 |
$199.64 |
| 90647 |
|
72 |
69 |
$110.24 |
| 87400 |
|
19 |
14 |
$74.61 |