| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,215 |
2,711 |
$243K |
| 92552 |
|
1,108 |
1,108 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
297 |
297 |
$30K |
| 99442 |
|
422 |
368 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
186 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,232 |
1,199 |
$21K |
| 97802 |
|
1,183 |
1,183 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
139 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
689 |
647 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
406 |
385 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
249 |
244 |
$6K |
| 92568 |
|
438 |
418 |
$6K |
| 92550 |
|
336 |
324 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
425 |
213 |
$3K |
| 99173 |
|
1,107 |
1,107 |
$3K |
| 96127 |
|
546 |
546 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
114 |
114 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
222 |
215 |
$858.30 |
| 99441 |
|
26 |
26 |
$848.75 |
| 99050 |
|
66 |
62 |
$624.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$558.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$196.35 |
| 92567 |
|
374 |
357 |
$31.00 |