| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,917 |
3,510 |
$303K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,639 |
4,963 |
$292K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,748 |
1,660 |
$144K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
880 |
811 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
748 |
674 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
486 |
400 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,007 |
2,694 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
800 |
679 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,071 |
1,067 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
591 |
526 |
$4K |
| 81003 |
|
2,141 |
1,987 |
$4K |
| 87428 |
|
59 |
58 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
91 |
$1K |
| 90473 |
|
104 |
88 |
$1K |
| 99173 |
|
572 |
536 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
87 |
$941.64 |
| 90698 |
|
97 |
80 |
$393.77 |
| 90633 |
|
442 |
386 |
$230.56 |
| 36416 |
|
80 |
70 |
$211.29 |
| 90670 |
|
154 |
134 |
$188.26 |
| 90619 |
|
34 |
29 |
$160.02 |
| 87430 |
|
15 |
13 |
$73.71 |
| 90651 |
|
28 |
24 |
$0.00 |
| 90686 |
|
1,005 |
940 |
$0.00 |
| 90697 |
|
47 |
38 |
$0.00 |
| 90680 |
|
46 |
37 |
$0.00 |
| 90656 |
|
13 |
12 |
$0.00 |
| 99051 |
|
834 |
773 |
$0.00 |
| 90710 |
|
39 |
37 |
$0.00 |
| 90734 |
|
43 |
38 |
$0.00 |
| 90672 |
|
117 |
97 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |