| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,727 |
3,263 |
$384K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,314 |
4,559 |
$327K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,126 |
997 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
971 |
924 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
284 |
270 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,513 |
2,388 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
56 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
201 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
416 |
402 |
$762.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$82.38 |
| 81002 |
|
12 |
12 |
$76.61 |
| 90686 |
|
234 |
220 |
$41.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,640 |
1,566 |
$20.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
199 |
$17.55 |
| 90670 |
|
893 |
853 |
$0.00 |
| 90633 |
|
100 |
98 |
$0.00 |
| 90707 |
|
126 |
116 |
$0.00 |
| 90715 |
|
31 |
28 |
$0.00 |
| 90685 |
|
70 |
68 |
$0.00 |
| 90734 |
|
37 |
34 |
$0.00 |
| 87807 |
|
100 |
96 |
$0.00 |
| 90680 |
|
446 |
421 |
$0.00 |
| 90647 |
|
422 |
407 |
$0.00 |
| 90651 |
|
31 |
28 |
$0.00 |
| 90723 |
|
413 |
397 |
$0.00 |
| 90698 |
|
40 |
36 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
59 |
$0.00 |
| 90696 |
|
32 |
29 |
$0.00 |
| 90716 |
|
123 |
120 |
$0.00 |