| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,593 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,275 |
1,141 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
585 |
535 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
460 |
384 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,024 |
937 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
563 |
506 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
197 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
640 |
592 |
$9K |
| 99188 |
|
353 |
302 |
$6K |
| 0240U |
|
62 |
42 |
$5K |
| 92551 |
|
676 |
636 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
39 |
14 |
$2K |
| 83655 |
|
166 |
120 |
$1K |
| 99173 |
|
672 |
630 |
$1K |
| 90474 |
|
118 |
103 |
$922.13 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
12 |
$364.92 |
| 85018 |
|
181 |
138 |
$277.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
12 |
$144.41 |
| 96160 |
|
17 |
12 |
$89.43 |
| 90686 |
|
272 |
214 |
$76.12 |
| 36416 |
|
127 |
62 |
$20.52 |
| 90670 |
|
245 |
214 |
$0.00 |
| 90710 |
|
18 |
14 |
$0.00 |
| 90633 |
|
59 |
56 |
$0.00 |
| 90648 |
|
254 |
217 |
$0.00 |
| 90680 |
|
54 |
53 |
$0.00 |
| 90723 |
|
56 |
54 |
$0.00 |