| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,772 |
8,661 |
$366K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,466 |
1,401 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
433 |
374 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
324 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
276 |
255 |
$16K |
| 90670 |
|
174 |
149 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
231 |
$11K |
| 90686 |
|
582 |
545 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
84 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
182 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
88 |
86 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
121 |
116 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
44 |
$1K |
| 99460 |
|
12 |
12 |
$795.13 |
| 90648 |
|
137 |
118 |
$750.03 |
| 99462 |
|
15 |
14 |
$361.89 |
| 90688 |
|
17 |
16 |
$75.11 |
| 90461 |
|
63 |
54 |
$0.00 |
| 90707 |
|
15 |
14 |
$0.00 |
| 90723 |
|
75 |
57 |
$0.00 |
| 90716 |
|
15 |
14 |
$0.00 |