| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,728 |
7,754 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,203 |
1,944 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
904 |
893 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
753 |
749 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
462 |
452 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,688 |
2,625 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
214 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,435 |
1,365 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,361 |
1,314 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
80 |
80 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
82 |
$686.16 |
| 85018 |
|
231 |
229 |
$333.65 |
| 90686 |
|
299 |
298 |
$220.00 |
| 90474 |
|
27 |
26 |
$210.00 |
| 90633 |
|
439 |
428 |
$180.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$120.82 |
| 97803 |
|
1,226 |
1,191 |
$80.00 |
| 90698 |
|
475 |
459 |
$60.00 |
| 81002 |
|
15 |
14 |
$25.08 |
| 90744 |
|
70 |
67 |
$20.00 |
| 90707 |
|
89 |
88 |
$20.00 |
| 90670 |
|
485 |
470 |
$10.00 |
| 90685 |
|
13 |
13 |
$10.00 |
| 90658 |
|
15 |
15 |
$10.00 |
| 99000 |
|
69 |
67 |
$0.00 |
| 90680 |
|
28 |
26 |
$0.00 |
| 90651 |
|
15 |
13 |
$0.00 |
| 90716 |
|
72 |
72 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 91307 |
|
21 |
12 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |