| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,571 |
3,325 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
687 |
651 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
861 |
852 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
31 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
97 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
47 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
83 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
23 |
12 |
$849.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
18 |
$383.94 |
| 90461 |
|
14 |
14 |
$320.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$66.30 |