| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,734 |
4,195 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,358 |
1,209 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
644 |
603 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
311 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
318 |
313 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
27 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
29 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$853.92 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
52 |
26 |
$464.58 |
| 90688 |
|
69 |
66 |
$40.25 |
| 90686 |
|
107 |
104 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$0.00 |
| 90685 |
|
29 |
27 |
$0.00 |