| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,097 |
6,374 |
$477K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
926 |
$108K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,967 |
1,879 |
$64K |
| 87428 |
|
1,091 |
993 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
215 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
203 |
200 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
133 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
70 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
594 |
532 |
$6K |
| 96127 |
|
302 |
262 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
169 |
$4K |
| 99173 |
|
577 |
551 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
107 |
101 |
$3K |
| 69210 |
|
27 |
24 |
$692.86 |
| 99050 |
|
78 |
61 |
$666.05 |
| 0071A |
|
16 |
16 |
$600.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$148.85 |
| 90686 |
|
1,241 |
1,205 |
$96.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
115 |
112 |
$0.00 |
| 99000 |
|
606 |
561 |
$0.00 |
| 97802 |
|
942 |
892 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 85018 |
|
78 |
78 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |