| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,978 |
4,682 |
$501K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,027 |
2,862 |
$221K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
276 |
276 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,014 |
1,008 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
278 |
269 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
300 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
200 |
199 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
50 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
310 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
244 |
226 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99384 |
|
16 |
16 |
$2K |
| 90686 |
|
185 |
185 |
$2K |
| 99382 |
|
15 |
15 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90677 |
|
12 |
12 |
$1K |
| 90715 |
|
28 |
28 |
$620.00 |
| 90656 |
|
46 |
46 |
$460.47 |
| 87807 |
|
32 |
30 |
$372.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$126.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
75 |
74 |
$0.00 |