| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,060 |
799 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
340 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
195 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$766.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
78 |
$650.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
27 |
$602.81 |
| 92558 |
|
126 |
124 |
$560.96 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$536.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$260.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$49.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$30.99 |
| 90656 |
|
15 |
15 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
150 |
145 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |
| 99177 |
|
114 |
112 |
$0.00 |