| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,260 |
2,829 |
$203K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,927 |
1,801 |
$64K |
| 96127 |
|
989 |
954 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
165 |
$18K |
| 99173 |
|
1,067 |
1,027 |
$8K |
| 92551 |
|
1,088 |
1,047 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
209 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
145 |
126 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
25 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
14 |
13 |
$2K |
| 0072A |
|
22 |
17 |
$680.00 |
| 90480 |
|
21 |
17 |
$600.00 |
| 0071A |
|
19 |
15 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$543.60 |
| 90686 |
|
1,056 |
994 |
$180.38 |
| 90674 |
|
118 |
107 |
$0.00 |
| 91307 |
|
44 |
32 |
$0.00 |
| 90661 |
|
46 |
44 |
$0.00 |
| 91321 |
|
21 |
17 |
$0.00 |
| 99072 |
|
14 |
13 |
$0.00 |