| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,526 |
15,469 |
$740K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,583 |
10,371 |
$674K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
946 |
898 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,281 |
2,052 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
672 |
632 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
689 |
642 |
$35K |
| 90686 |
|
2,697 |
2,534 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
478 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
487 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,432 |
1,344 |
$22K |
| 81002 |
|
1,939 |
1,602 |
$6K |
| 81025 |
|
780 |
680 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
139 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
82 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
323 |
170 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
326 |
$4K |
| 0001A |
|
22 |
22 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
55 |
49 |
$1K |
| 99442 |
|
47 |
40 |
$832.06 |
| 90734 |
|
41 |
41 |
$728.44 |
| 90715 |
|
57 |
56 |
$309.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
13 |
$241.78 |
| 91300 |
|
38 |
38 |
$0.28 |
| 90461 |
|
34 |
34 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |