| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,202 |
9,427 |
$981K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,143 |
13,037 |
$947K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,976 |
7,816 |
$297K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,894 |
2,714 |
$274K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,170 |
2,150 |
$225K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
530 |
518 |
$59K |
| 90461 |
|
2,339 |
2,204 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
504 |
$51K |
| G9153 |
Mapcp demonstration - physician incentive pool |
855 |
847 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,482 |
711 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,359 |
1,318 |
$19K |
| 87430 |
|
1,309 |
1,258 |
$18K |
| 87400 |
|
1,545 |
731 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
128 |
$6K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
79 |
$3K |
| 99442 |
|
31 |
29 |
$972.95 |
| 87807 |
|
75 |
73 |
$854.58 |
| 87428 |
|
12 |
12 |
$778.24 |
| 99441 |
|
42 |
39 |
$725.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$441.05 |
| 90677 |
|
223 |
219 |
$257.25 |
| 94760 |
|
319 |
293 |
$224.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
51 |
$213.28 |
| 90686 |
|
1,687 |
1,650 |
$186.53 |
| 90680 |
|
395 |
390 |
$0.00 |
| 90723 |
|
520 |
514 |
$0.00 |
| 90656 |
|
126 |
126 |
$0.00 |
| 90647 |
|
396 |
393 |
$0.00 |
| 90716 |
|
49 |
49 |
$0.00 |
| 90670 |
|
862 |
851 |
$0.00 |
| 90633 |
|
147 |
147 |
$0.00 |
| 90700 |
|
61 |
61 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90707 |
|
51 |
51 |
$0.00 |