| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,358 |
1,211 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,010 |
1,620 |
$42K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
280 |
248 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
542 |
515 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
84 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
213 |
192 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
341 |
281 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
341 |
281 |
$1K |
| 92551 |
|
146 |
135 |
$990.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$401.72 |
| 81002 |
|
180 |
156 |
$338.05 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$297.96 |
| 85018 |
|
182 |
144 |
$222.49 |
| 99173 |
|
167 |
137 |
$206.06 |
| 94760 |
|
133 |
96 |
$48.72 |
| 90651 |
|
269 |
263 |
$1.34 |
| 90633 |
|
53 |
53 |
$0.06 |
| 90734 |
|
58 |
56 |
$0.00 |
| 99000 |
|
343 |
282 |
$0.00 |
| 90619 |
|
46 |
42 |
$0.00 |