| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,777 |
9,253 |
$863K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
809 |
794 |
$56K |
| 90686 |
|
2,564 |
2,542 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
293 |
288 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
308 |
$29K |
| 99215 |
Prolong outpt/office vis |
265 |
227 |
$28K |
| 90688 |
|
856 |
850 |
$11K |
| 0001A |
|
177 |
177 |
$7K |
| 0002A |
|
151 |
150 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,815 |
1,785 |
$6K |
| 0071A |
|
110 |
109 |
$4K |
| 0072A |
|
94 |
93 |
$4K |
| 90480 |
|
115 |
115 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
32 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
27 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
91 |
$2K |
| 0073A |
|
40 |
40 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
26 |
$1K |
| 96127 |
|
303 |
292 |
$1K |
| 0154A |
|
26 |
26 |
$1K |
| 90656 |
|
171 |
171 |
$1K |
| 0112A |
|
25 |
25 |
$912.00 |
| 90651 |
|
52 |
51 |
$653.44 |
| 0111A |
|
14 |
14 |
$546.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
328 |
322 |
$440.92 |
| 90685 |
|
17 |
17 |
$272.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$170.52 |
| 90715 |
|
13 |
13 |
$130.26 |
| 90734 |
|
12 |
12 |
$120.24 |
| 92551 |
|
16 |
16 |
$117.60 |
| 90698 |
|
13 |
13 |
$68.86 |
| 90670 |
|
13 |
13 |
$68.86 |
| 99173 |
|
15 |
15 |
$22.92 |
| 91321 |
|
76 |
76 |
$6.26 |
| 91322 |
|
40 |
39 |
$6.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,041 |
982 |
$0.20 |
| 3008F |
|
560 |
559 |
$0.00 |
| 99000 |
|
404 |
391 |
$0.00 |
| 91307 |
|
293 |
284 |
$0.00 |
| 91315 |
|
26 |
26 |
$0.00 |
| 91300 |
|
329 |
311 |
$0.00 |
| 91311 |
|
42 |
42 |
$0.00 |
| 90649 |
|
16 |
16 |
$0.00 |