| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,893 |
10,105 |
$755K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
726 |
683 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,638 |
2,109 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
508 |
508 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
351 |
351 |
$36K |
| 92587 |
|
1,133 |
1,132 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
179 |
$17K |
| 90461 |
|
485 |
484 |
$15K |
| 99401 |
|
460 |
432 |
$13K |
| 85013 |
|
1,525 |
1,525 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
394 |
263 |
$7K |
| 81000 |
|
873 |
871 |
$3K |
| 99177 |
|
588 |
588 |
$2K |
| 4124F |
|
42 |
42 |
$2K |
| 99443 |
|
25 |
19 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99406 |
|
105 |
92 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
28 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
45 |
$570.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$496.57 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
256 |
179 |
$477.90 |
| 90686 |
|
565 |
565 |
$444.94 |
| 83655 |
|
12 |
12 |
$108.96 |
| 85014 |
|
41 |
41 |
$53.96 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90670 |
|
65 |
65 |
$0.00 |