| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,774 |
3,237 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,892 |
1,731 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,692 |
1,659 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
806 |
740 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
344 |
$29K |
| 90461 |
|
496 |
495 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,543 |
726 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
836 |
801 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
131 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
79 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
124 |
112 |
$6K |
| 82735 |
|
109 |
109 |
$2K |
| 87807 |
|
124 |
118 |
$1K |
| 99188 |
|
109 |
109 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 85018 |
|
290 |
287 |
$667.05 |
| 0001A |
|
16 |
16 |
$640.00 |
| 81003 |
|
275 |
268 |
$527.20 |
| 0002A |
|
13 |
13 |
$520.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$501.54 |
| 90756 |
|
14 |
14 |
$287.14 |
| 85014 |
|
114 |
112 |
$269.27 |
| 90674 |
|
12 |
12 |
$259.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$250.91 |
| 90661 |
|
32 |
32 |
$100.30 |
| 96127 |
|
30 |
30 |
$94.24 |
| 90686 |
|
565 |
551 |
$73.46 |
| 91300 |
|
48 |
47 |
$0.00 |
| 90672 |
|
35 |
35 |
$0.00 |
| 90670 |
|
75 |
75 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 99024 |
|
75 |
74 |
$0.00 |
| 90698 |
|
38 |
38 |
$0.00 |