| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,873 |
6,470 |
$955K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,228 |
2,148 |
$445K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,704 |
1,704 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,686 |
1,667 |
$266K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,204 |
4,056 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,002 |
1,002 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
250 |
$42K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
96 |
94 |
$13K |
| 99460 |
|
67 |
67 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
188 |
185 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
247 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
106 |
$3K |
| 54150 |
|
13 |
13 |
$2K |
| 0071A |
|
43 |
43 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$992.09 |
| 0072A |
|
27 |
27 |
$800.00 |
| 99188 |
|
13 |
13 |
$260.00 |
| 96127 |
|
12 |
12 |
$81.51 |
| 90656 |
|
152 |
152 |
$0.13 |
| 90660 |
|
14 |
14 |
$0.02 |
| 90686 |
|
1,351 |
1,351 |
$0.02 |
| 90620 |
|
12 |
12 |
$0.01 |
| 90677 |
|
237 |
237 |
$0.00 |
| 90647 |
|
407 |
407 |
$0.00 |
| 90723 |
|
496 |
496 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |
| 91307 |
|
94 |
92 |
$0.00 |
| 96160 |
|
493 |
493 |
$0.00 |
| 90670 |
|
712 |
712 |
$0.00 |
| 90681 |
|
51 |
51 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90672 |
|
154 |
154 |
$0.00 |
| 90633 |
|
58 |
58 |
$0.00 |