| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,582 |
5,944 |
$641K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,525 |
4,080 |
$333K |
| 99215 |
Prolong outpt/office vis |
823 |
768 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
365 |
365 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
771 |
768 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
195 |
187 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
486 |
421 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$6K |
| 99221 |
|
70 |
70 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
213 |
206 |
$4K |
| 99318 |
|
55 |
55 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$516.54 |
| 90674 |
|
28 |
28 |
$448.00 |
| 96127 |
|
84 |
82 |
$371.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$261.75 |
| 90686 |
|
67 |
67 |
$203.62 |
| 90648 |
|
28 |
28 |
$0.00 |
| 90670 |
|
45 |
45 |
$0.00 |
| 90647 |
|
31 |
31 |
$0.00 |