| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,195 |
9,690 |
$899K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,589 |
4,987 |
$321K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
559 |
530 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$7K |
| 90686 |
|
518 |
515 |
$6K |
| 99406 |
|
480 |
451 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
356 |
354 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
254 |
$3K |
| 81002 |
|
962 |
915 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
262 |
259 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
132 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 0012A |
|
31 |
31 |
$1K |
| 90688 |
|
81 |
80 |
$927.68 |
| 0011A |
|
33 |
33 |
$581.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
34 |
$458.60 |
| 0124A |
|
14 |
14 |
$180.00 |
| 91301 |
|
57 |
57 |
$0.24 |
| 90734 |
|
14 |
14 |
$0.00 |
| 91312 |
|
17 |
17 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$0.00 |