| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,693 |
4,303 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,405 |
1,394 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,106 |
1,085 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,211 |
1,200 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
758 |
747 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,660 |
2,426 |
$75K |
| 99460 |
|
222 |
221 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
464 |
313 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,099 |
3,029 |
$12K |
| 81002 |
|
1,999 |
1,962 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
163 |
$669.08 |
| 0053A |
|
12 |
12 |
$480.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
50 |
$413.01 |
| 90686 |
|
897 |
891 |
$390.81 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$349.18 |
| 83655 |
|
28 |
26 |
$243.46 |
| 90680 |
|
573 |
566 |
$240.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
370 |
$205.40 |
| 90633 |
|
592 |
586 |
$90.00 |
| 90744 |
|
393 |
386 |
$50.00 |
| 90698 |
|
700 |
693 |
$30.00 |
| 90696 |
|
86 |
85 |
$30.00 |
| 90710 |
|
109 |
108 |
$10.00 |
| 90670 |
|
900 |
891 |
$10.00 |
| 85018 |
|
64 |
64 |
$5.34 |
| 87081 |
|
258 |
253 |
$4.95 |
| 90651 |
|
205 |
202 |
$0.00 |
| 90716 |
|
68 |
68 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90685 |
|
42 |
40 |
$0.00 |
| 90707 |
|
58 |
58 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| 90734 |
|
92 |
91 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |