| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,629 |
4,068 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,818 |
5,159 |
$356K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,512 |
1,498 |
$144K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,454 |
3,371 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,088 |
1,015 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
857 |
827 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,077 |
2,037 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
621 |
605 |
$63K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
622 |
615 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,461 |
1,383 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
198 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
357 |
$6K |
| 99070 |
|
590 |
564 |
$6K |
| 94760 |
|
2,158 |
1,960 |
$4K |
| 99383 |
|
12 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
40 |
$990.01 |
| 92081 |
|
35 |
35 |
$968.10 |
| 92587 |
|
45 |
45 |
$789.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$391.08 |
| 99058 |
|
15 |
14 |
$252.18 |
| 90671 |
|
291 |
286 |
$222.46 |
| 36416 |
|
81 |
77 |
$138.88 |
| 90619 |
|
121 |
120 |
$0.06 |
| 90710 |
|
263 |
259 |
$0.00 |
| 90670 |
|
454 |
450 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 90633 |
|
200 |
198 |
$0.00 |
| 90734 |
|
125 |
122 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
32 |
13 |
$0.00 |
| 90686 |
|
389 |
374 |
$0.00 |
| 90680 |
|
233 |
230 |
$0.00 |
| 90647 |
|
81 |
81 |
$0.00 |
| 90698 |
|
75 |
73 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |