| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
613 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
336 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
115 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
118 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
137 |
133 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
103 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
396 |
335 |
$4K |
| 90688 |
|
172 |
149 |
$3K |
| 96160 |
|
1,135 |
687 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
15 |
$2K |
| 90461 |
|
97 |
86 |
$922.21 |
| 87807 |
|
58 |
57 |
$645.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
24 |
$487.80 |
| 92551 |
|
53 |
49 |
$466.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
43 |
$359.20 |
| 90647 |
|
15 |
13 |
$302.64 |
| 99173 |
|
41 |
41 |
$67.60 |
| 85018 |
|
19 |
12 |
$16.06 |
| 99001 |
|
29 |
24 |
$0.00 |
| 36416 |
|
45 |
24 |
$0.00 |