| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,234 |
2,087 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,020 |
2,771 |
$232K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,344 |
1,290 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
161 |
161 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
124 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
106 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
133 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 90686 |
|
79 |
78 |
$872.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
31 |
$400.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$348.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$330.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$79.52 |
| 85018 |
|
70 |
70 |
$27.87 |
| 99173 |
|
108 |
108 |
$5.78 |
| 96160 |
|
19 |
13 |
$2.57 |
| 94760 |
|
291 |
254 |
$2.55 |
| 36416 |
|
13 |
13 |
$0.00 |