| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,216 |
1,137 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
928 |
875 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
217 |
200 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
144 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
458 |
453 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
105 |
$429.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$304.83 |
| 99177 |
|
40 |
39 |
$260.28 |
| 90670 |
|
64 |
62 |
$171.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
238 |
235 |
$110.48 |
| 99188 |
|
12 |
12 |
$35.74 |
| 90648 |
|
41 |
40 |
$0.00 |
| 90474 |
|
26 |
25 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 36416 |
|
40 |
34 |
$0.00 |