| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
369 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
520 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
224 |
156 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
233 |
132 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$1K |
| 90686 |
|
193 |
147 |
$996.88 |
| 92551 |
|
97 |
86 |
$937.25 |
| 99072 |
|
1,507 |
1,125 |
$441.00 |
| 90656 |
|
18 |
16 |
$94.12 |
| 91307 |
|
31 |
13 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
23 |
12 |
$0.00 |