| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,940 |
3,042 |
$198K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
629 |
484 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
264 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
511 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,065 |
1,601 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,744 |
950 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
198 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
102 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
76 |
$7K |
| 87428 |
|
149 |
105 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
282 |
104 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
66 |
49 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
117 |
$2K |
| 90473 |
|
116 |
69 |
$1K |
| 90474 |
|
38 |
26 |
$606.00 |
| 90670 |
|
235 |
182 |
$378.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
14 |
$120.00 |
| 90686 |
|
492 |
358 |
$87.35 |
| 90688 |
|
88 |
80 |
$34.70 |
| 90672 |
|
121 |
72 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90680 |
|
50 |
38 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |