| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,764 |
5,239 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,636 |
6,906 |
$475K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,760 |
2,755 |
$220K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,651 |
2,629 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,597 |
1,597 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
925 |
925 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,718 |
2,690 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,304 |
5,245 |
$55K |
| 92587 |
|
3,619 |
3,607 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,178 |
1,165 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,605 |
1,565 |
$22K |
| 81002 |
|
4,104 |
4,020 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
226 |
$6K |
| 83655 |
|
343 |
342 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
105 |
$2K |
| 99406 |
|
135 |
134 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| D0190 |
|
79 |
79 |
$1K |
| 90474 |
|
335 |
335 |
$1K |
| 99188 |
|
95 |
95 |
$694.87 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$605.32 |
| 85018 |
|
243 |
239 |
$483.33 |
| 96127 |
|
27 |
27 |
$156.80 |
| 98966 |
|
13 |
13 |
$67.31 |
| 90656 |
|
130 |
130 |
$43.11 |
| 90715 |
|
14 |
14 |
$36.76 |
| 90688 |
|
44 |
44 |
$17.85 |
| 90677 |
|
194 |
194 |
$0.91 |
| 98967 |
|
12 |
12 |
$0.02 |
| G9007 |
Coordinated care fee, scheduled team conference |
69 |
69 |
$0.02 |
| 90680 |
|
861 |
861 |
$0.00 |
| 90744 |
|
644 |
644 |
$0.00 |
| 90716 |
|
376 |
376 |
$0.00 |
| 90686 |
|
1,744 |
1,741 |
$0.00 |
| 90698 |
|
1,179 |
1,179 |
$0.00 |
| 90619 |
|
40 |
40 |
$0.00 |
| 90651 |
|
32 |
32 |
$0.00 |
| 90670 |
|
1,429 |
1,428 |
$0.00 |
| 90707 |
|
434 |
433 |
$0.00 |
| 90633 |
|
429 |
428 |
$0.00 |
| 90700 |
|
375 |
373 |
$0.00 |
| 90621 |
|
24 |
24 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 90685 |
|
166 |
166 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |