| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,477 |
3,930 |
$532K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,633 |
2,283 |
$227K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
488 |
469 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
383 |
381 |
$43K |
| 99215 |
Prolong outpt/office vis |
249 |
228 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
514 |
497 |
$12K |
| 99401 |
|
314 |
308 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
147 |
145 |
$5K |
| 92552 |
|
87 |
84 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 99384 |
|
13 |
13 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
24 |
$2K |
| 91322 |
|
13 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
323 |
274 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
114 |
103 |
$2K |
| 87428 |
|
25 |
25 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$1K |
| 90686 |
|
37 |
36 |
$815.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
40 |
$678.55 |
| 99173 |
|
96 |
93 |
$572.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$284.79 |
| 96127 |
|
43 |
41 |
$206.47 |
| 81025 |
|
12 |
12 |
$88.49 |
| V5008 |
Hearing screening |
12 |
12 |
$56.67 |