| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,449 |
10,217 |
$675K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,828 |
3,527 |
$327K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,205 |
1,160 |
$97K |
| 97802 |
|
3,882 |
3,750 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
999 |
928 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
954 |
912 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,106 |
4,838 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,801 |
1,290 |
$50K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,352 |
2,602 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,043 |
961 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
274 |
266 |
$23K |
| 90461 |
|
863 |
591 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
603 |
287 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
374 |
325 |
$6K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
248 |
234 |
$2K |
| 90656 |
|
96 |
79 |
$318.88 |
| 90670 |
|
348 |
337 |
$244.08 |
| 90698 |
|
380 |
358 |
$204.06 |
| 90686 |
|
889 |
852 |
$107.01 |
| 90680 |
|
39 |
38 |
$97.06 |
| 90658 |
|
179 |
175 |
$66.48 |
| 90744 |
|
28 |
26 |
$26.87 |
| 90660 |
|
24 |
24 |
$0.00 |
| 90677 |
|
29 |
27 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90655 |
|
17 |
17 |
$0.00 |