| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,667 |
2,413 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,541 |
3,159 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,510 |
1,394 |
$53K |
| 99215 |
Prolong outpt/office vis |
77 |
65 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
78 |
$9K |
| 90686 |
|
745 |
722 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
39 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
133 |
$3K |
| 96127 |
|
291 |
275 |
$2K |
| 90670 |
|
25 |
25 |
$2K |
| 90688 |
|
76 |
75 |
$1K |
| 90480 |
|
31 |
29 |
$986.71 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
17 |
$913.32 |
| 91320 |
|
15 |
13 |
$786.60 |
| 0012A |
|
14 |
14 |
$360.00 |