| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,080 |
3,812 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,050 |
1,945 |
$170K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,142 |
1,123 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,123 |
1,114 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,275 |
1,229 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
643 |
615 |
$21K |
| 92587 |
|
1,007 |
981 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
173 |
$16K |
| 96127 |
|
2,783 |
2,147 |
$15K |
| 99441 |
|
577 |
469 |
$8K |
| 90461 |
|
354 |
312 |
$7K |
| G9153 |
Mapcp demonstration - physician incentive pool |
98 |
98 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
346 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
356 |
184 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,002 |
995 |
$4K |
| 99442 |
|
113 |
102 |
$3K |
| 92552 |
|
244 |
243 |
$3K |
| 99383 |
|
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
228 |
223 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
94 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90686 |
|
552 |
533 |
$870.67 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
27 |
$700.00 |
| 90656 |
|
55 |
55 |
$498.70 |
| 90674 |
|
21 |
20 |
$315.64 |
| 90649 |
|
69 |
69 |
$250.00 |
| 90685 |
|
53 |
45 |
$200.50 |
| 90734 |
|
24 |
24 |
$126.21 |
| 90688 |
|
107 |
105 |
$46.17 |
| 90655 |
|
98 |
96 |
$0.00 |