| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,856 |
3,196 |
$828K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,878 |
3,584 |
$788K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,850 |
1,658 |
$503K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
645 |
616 |
$181K |
| 99215 |
Prolong outpt/office vis |
113 |
108 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
88 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,756 |
1,749 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,057 |
1,056 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
49 |
$15K |
| 99381 |
|
43 |
26 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
96 |
$793.11 |
| 87400 |
|
13 |
13 |
$314.25 |
| 90677 |
|
291 |
291 |
$279.06 |
| 87807 |
|
61 |
59 |
$174.75 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
14 |
$135.69 |
| 90474 |
|
173 |
173 |
$74.34 |
| 87428 |
|
71 |
69 |
$29.39 |
| 90633 |
|
112 |
112 |
$0.03 |
| 90670 |
|
585 |
582 |
$0.01 |
| 90648 |
|
106 |
106 |
$0.00 |
| 3078F |
|
27 |
25 |
$0.00 |
| 90681 |
|
93 |
93 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |
| 90723 |
|
66 |
66 |
$0.00 |
| 90680 |
|
302 |
302 |
$0.00 |
| 3008F |
|
471 |
458 |
$0.00 |
| 90697 |
|
523 |
523 |
$0.00 |
| 3074F |
|
55 |
52 |
$0.00 |