| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,785 |
4,942 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,479 |
1,347 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,034 |
1,015 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,008 |
857 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
669 |
660 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
108 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
706 |
421 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
812 |
735 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
55 |
$132.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$100.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,568 |
1,530 |
$78.78 |
| 81003 |
|
12 |
12 |
$41.94 |
| 97802 |
|
1,584 |
1,551 |
$34.99 |
| 85018 |
|
13 |
12 |
$1.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
26 |
$0.00 |
| 90686 |
|
78 |
77 |
$0.00 |