| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,474 |
2,215 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,101 |
1,851 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
659 |
557 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
431 |
421 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
193 |
$8K |
| 90686 |
|
542 |
531 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
543 |
523 |
$3K |
| 90461 |
|
280 |
273 |
$2K |
| 96127 |
|
790 |
697 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
137 |
132 |
$1K |
| 99000 |
|
379 |
318 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
146 |
134 |
$846.87 |
| 90672 |
|
146 |
143 |
$789.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
635 |
623 |
$755.79 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
83 |
79 |
$679.11 |
| 90473 |
|
150 |
146 |
$352.23 |
| 90480 |
|
16 |
16 |
$280.00 |
| 0002A |
|
13 |
13 |
$200.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
51 |
$170.84 |
| 90656 |
|
53 |
53 |
$89.50 |
| 36416 |
|
68 |
57 |
$41.47 |
| 90660 |
|
12 |
12 |
$28.91 |
| 99174 |
|
36 |
36 |
$6.55 |
| 90648 |
|
266 |
257 |
$0.02 |
| 90723 |
|
137 |
132 |
$0.01 |
| 90671 |
|
228 |
218 |
$0.01 |
| 90680 |
|
93 |
91 |
$0.00 |
| 99173 |
|
416 |
400 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |