| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,504 |
5,124 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,142 |
1,996 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,650 |
2,466 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
174 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
858 |
428 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
809 |
797 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
99 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
86 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
599 |
566 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
367 |
358 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
585 |
334 |
$5K |
| 99215 |
Prolong outpt/office vis |
75 |
65 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
87 |
$4K |
| 99000 |
|
289 |
275 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
71 |
69 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
71 |
$775.86 |
| 96160 |
|
56 |
56 |
$105.56 |
| 90686 |
|
66 |
65 |
$92.11 |
| 99490 |
Ccm add 20min |
138 |
134 |
$45.82 |
| 81002 |
|
18 |
12 |
$43.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
29 |
$15.73 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
26 |
26 |
$0.00 |
| 90651 |
|
31 |
29 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |