| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,024 |
13,087 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,978 |
1,908 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,115 |
1,103 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
890 |
890 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,659 |
1,654 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
519 |
515 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
703 |
662 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,576 |
1,550 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,672 |
1,626 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
638 |
629 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
201 |
$10K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$5K |
| 90473 |
|
237 |
237 |
$4K |
| 99401 |
|
46 |
46 |
$1K |
| 87807 |
|
79 |
77 |
$891.65 |
| 36416 |
|
235 |
235 |
$602.91 |
| 99442 |
|
17 |
17 |
$420.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$334.53 |
| 99173 |
|
113 |
113 |
$295.72 |
| 90677 |
|
106 |
106 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90680 |
|
116 |
116 |
$0.00 |
| 90647 |
|
68 |
68 |
$0.00 |
| 90723 |
|
38 |
38 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 96160 |
|
800 |
798 |
$0.00 |
| 90710 |
|
68 |
68 |
$0.00 |
| 90670 |
|
366 |
366 |
$0.00 |
| 90633 |
|
65 |
65 |
$0.00 |