| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,893 |
7,662 |
$473K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,833 |
3,454 |
$291K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,116 |
1,622 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,780 |
1,738 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,459 |
1,414 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
774 |
747 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,793 |
2,654 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,266 |
3,988 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,461 |
1,307 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
361 |
167 |
$5K |
| 90474 |
|
172 |
170 |
$2K |
| 87428 |
|
55 |
53 |
$2K |
| 90670 |
|
1,205 |
1,134 |
$753.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$473.07 |
| 90710 |
|
66 |
64 |
$209.38 |
| 90686 |
|
1,133 |
1,026 |
$184.05 |
| 90651 |
|
118 |
114 |
$167.03 |
| 90633 |
|
634 |
601 |
$64.54 |
| 90696 |
|
80 |
77 |
$51.60 |
| 90734 |
|
107 |
99 |
$0.00 |
| 90648 |
|
754 |
715 |
$0.00 |
| 90715 |
|
85 |
85 |
$0.00 |
| 90681 |
|
113 |
113 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90723 |
|
623 |
589 |
$0.00 |
| 90619 |
|
120 |
119 |
$0.00 |
| 90680 |
|
276 |
247 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |