| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,245 |
2,009 |
$205K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
147 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
106 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
734 |
715 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
70 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
56 |
$3K |
| 90686 |
|
426 |
425 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,813 |
1,776 |
$2K |
| 90677 |
|
28 |
28 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$986.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
68 |
68 |
$901.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
66 |
$780.40 |
| 92551 |
|
513 |
504 |
$318.17 |
| 90461 |
|
13 |
13 |
$279.22 |
| 90656 |
|
28 |
28 |
$226.85 |
| 96127 |
|
62 |
52 |
$213.09 |
| 87428 |
|
15 |
14 |
$157.34 |
| 99000 |
|
83 |
77 |
$87.59 |
| 90670 |
|
25 |
25 |
$41.43 |
| 85018 |
|
56 |
56 |
$32.77 |
| 99173 |
|
511 |
500 |
$2.70 |
| 90697 |
|
12 |
12 |
$0.02 |
| 83655 |
|
14 |
14 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |