| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,211 |
8,801 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,351 |
1,223 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,068 |
779 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
753 |
746 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
423 |
414 |
$56K |
| 99423 |
|
608 |
457 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
62 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
331 |
319 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,378 |
2,196 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
441 |
429 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,556 |
1,403 |
$3K |
| 97803 |
|
3,718 |
3,242 |
$746.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
860 |
813 |
$719.92 |
| 92567 |
|
591 |
514 |
$151.06 |
| 90686 |
|
500 |
492 |
$121.76 |
| 99050 |
|
112 |
111 |
$108.48 |
| 36415 |
Collection of venous blood by venipuncture |
256 |
182 |
$3.00 |
| 90670 |
|
52 |
52 |
$0.00 |
| 90734 |
|
33 |
32 |
$0.00 |
| 90633 |
|
42 |
39 |
$0.00 |
| 81002 |
|
15 |
15 |
$0.00 |
| 90651 |
|
108 |
106 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,434 |
2,067 |
$0.00 |
| 94010 |
|
69 |
62 |
$0.00 |
| 93000 |
|
24 |
24 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |