| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
377 |
$2K |
| 90686 |
|
194 |
194 |
$2K |
| 96151 |
|
65 |
65 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$778.03 |
| 96156 |
|
47 |
47 |
$679.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
126 |
$289.73 |
| G9920 |
Screening performed and negative |
59 |
59 |
$261.00 |
| 92551 |
|
16 |
16 |
$210.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |