| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,307 |
3,817 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,156 |
1,053 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
878 |
819 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
925 |
805 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,729 |
3,383 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
337 |
303 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,403 |
1,251 |
$13K |
| 90671 |
|
107 |
105 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
106 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
465 |
431 |
$5K |
| 90619 |
|
197 |
188 |
$4K |
| 90670 |
|
256 |
195 |
$3K |
| 90686 |
|
2,293 |
2,078 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
66 |
64 |
$1K |
| 3008F |
|
5,631 |
5,037 |
$338.19 |
| 90461 |
|
101 |
96 |
$279.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$229.41 |
| 1159F |
|
4,768 |
4,299 |
$225.03 |
| 90474 |
|
40 |
39 |
$150.00 |
| 3074F |
|
3,855 |
3,676 |
$150.00 |
| 2001F |
|
6,526 |
5,574 |
$91.37 |
| 90658 |
|
57 |
57 |
$90.00 |
| 3078F |
|
3,837 |
3,577 |
$79.51 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$63.00 |
| 81025 |
|
13 |
12 |
$52.89 |
| 90715 |
|
60 |
60 |
$41.39 |
| 90651 |
|
510 |
453 |
$12.61 |
| 1000F |
|
2,935 |
2,642 |
$12.61 |
| 1160F |
|
4,770 |
4,303 |
$0.00 |
| 99177 |
|
14 |
14 |
$0.00 |
| 3210F |
|
50 |
46 |
$0.00 |
| 90633 |
|
161 |
136 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |
| 3725F |
|
15 |
15 |
$0.00 |
| 90710 |
|
31 |
30 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90621 |
|
30 |
12 |
$0.00 |
| 1220F |
|
962 |
896 |
$0.00 |
| 1036F |
|
43 |
40 |
$0.00 |
| 1126F |
|
3,839 |
3,550 |
$0.00 |
| 2000F |
|
3,917 |
3,649 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 90677 |
|
15 |
13 |
$0.00 |
| 1157F |
|
132 |
93 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90680 |
|
54 |
53 |
$0.00 |
| 1170F |
|
19 |
17 |
$0.00 |
| 90698 |
|
17 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 96127 |
|
109 |
105 |
$0.00 |
| 3351F |
|
39 |
37 |
$0.00 |
| 3048F |
|
21 |
20 |
$0.00 |