| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,893 |
4,391 |
$331K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,354 |
4,743 |
$237K |
| 90670 |
|
477 |
442 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,063 |
1,044 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
980 |
961 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,942 |
3,748 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,485 |
1,384 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
681 |
668 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
726 |
687 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,065 |
1,962 |
$34K |
| 92552 |
|
2,658 |
2,601 |
$33K |
| 90716 |
|
201 |
186 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,834 |
1,688 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
593 |
532 |
$17K |
| 90651 |
|
159 |
157 |
$16K |
| 90734 |
|
221 |
219 |
$16K |
| 90688 |
|
1,212 |
1,169 |
$14K |
| 90707 |
|
214 |
198 |
$12K |
| 90619 |
|
81 |
80 |
$9K |
| 90633 |
|
181 |
174 |
$8K |
| 90698 |
|
92 |
92 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
415 |
388 |
$4K |
| 90715 |
|
94 |
92 |
$2K |
| 90700 |
|
200 |
187 |
$2K |
| 90621 |
|
17 |
15 |
$2K |
| 0001A |
|
48 |
39 |
$2K |
| 90687 |
|
161 |
153 |
$1K |
| 90713 |
|
90 |
84 |
$1K |
| 0002A |
|
28 |
20 |
$905.00 |
| 90680 |
|
80 |
78 |
$535.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$481.28 |
| 90744 |
|
65 |
64 |
$367.50 |
| 90648 |
|
16 |
16 |
$354.24 |
| 91300 |
|
54 |
51 |
$200.23 |
| 90461 |
|
13 |
12 |
$26.25 |
| 91307 |
|
30 |
30 |
$0.27 |