| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,517 |
2,897 |
$231K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,340 |
1,063 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
177 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
130 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
192 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
285 |
243 |
$9K |
| 92551 |
|
1,029 |
904 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
77 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
419 |
337 |
$7K |
| 90461 |
|
117 |
92 |
$3K |
| 85018 |
|
2,050 |
1,780 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
152 |
$2K |
| 80061 |
Lipid panel |
125 |
106 |
$924.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
56 |
$795.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
66 |
$484.05 |
| 82947 |
|
128 |
109 |
$281.59 |
| 36416 |
|
819 |
718 |
$200.10 |
| 99188 |
|
13 |
12 |
$137.20 |
| 87807 |
|
16 |
15 |
$73.62 |
| 90686 |
|
220 |
154 |
$17.30 |
| 99173 |
|
563 |
531 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |
| 90655 |
|
14 |
13 |
$0.00 |
| 90656 |
|
246 |
215 |
$0.00 |