| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
471 |
436 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
832 |
716 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
221 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
180 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
304 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
170 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
96 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
559 |
485 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
313 |
294 |
$5K |
| 92551 |
|
556 |
528 |
$4K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$1K |
| 99173 |
|
565 |
526 |
$1K |
| 96160 |
|
219 |
173 |
$996.75 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
31 |
$974.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
30 |
$630.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
58 |
$557.82 |
| 99188 |
|
64 |
38 |
$519.48 |
| 90474 |
|
32 |
26 |
$237.38 |
| 83655 |
|
19 |
14 |
$115.56 |
| 85018 |
|
39 |
32 |
$56.93 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90686 |
|
97 |
74 |
$0.00 |
| 90651 |
|
17 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90671 |
|
41 |
35 |
$0.00 |
| 90648 |
|
64 |
57 |
$0.00 |
| 90670 |
|
32 |
30 |
$0.00 |
| 90681 |
|
34 |
16 |
$0.00 |