| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,898 |
5,529 |
$539K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,363 |
1,283 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,055 |
2,019 |
$51K |
| 97802 |
|
297 |
292 |
$8K |
| 87428 |
|
98 |
83 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 90461 |
|
93 |
92 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
39 |
$2K |
| 85018 |
|
603 |
589 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
46 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$995.60 |
| 99050 |
|
58 |
58 |
$679.37 |
| 0072A |
|
16 |
16 |
$640.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 81002 |
|
140 |
136 |
$461.72 |
| 90686 |
|
971 |
962 |
$232.35 |
| 91307 |
|
49 |
43 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
872 |
868 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |