| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,851 |
5,165 |
$489K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,242 |
1,139 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,382 |
1,183 |
$138K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,012 |
1,606 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
682 |
622 |
$74K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,784 |
1,435 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,010 |
813 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
708 |
414 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
149 |
$15K |
| 90670 |
|
618 |
441 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
195 |
178 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
372 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
70 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
19 |
16 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
25 |
$3K |
| 90461 |
|
271 |
177 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
199 |
83 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
26 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
23 |
12 |
$2K |
| 90723 |
|
311 |
218 |
$2K |
| 90677 |
|
121 |
81 |
$2K |
| 87428 |
|
45 |
42 |
$2K |
| 90474 |
|
174 |
116 |
$2K |
| 90633 |
|
134 |
110 |
$1K |
| 90686 |
|
314 |
268 |
$1K |
| 92567 |
|
92 |
88 |
$937.29 |
| 90647 |
|
327 |
228 |
$827.19 |
| 90680 |
|
186 |
128 |
$739.69 |
| 83655 |
|
33 |
12 |
$85.74 |
| 85018 |
|
66 |
40 |
$78.59 |
| 90688 |
|
23 |
16 |
$0.00 |