| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,638 |
10,133 |
$523K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,173 |
2,909 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
830 |
722 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
783 |
725 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
413 |
383 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
680 |
638 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
37 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
26 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21 |
17 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
26 |
$2K |
| 90656 |
|
188 |
174 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
38 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
61 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
151 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$478.06 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
25 |
$463.60 |
| 81002 |
|
67 |
61 |
$100.74 |
| G0008 |
Administration of influenza virus vaccine |
145 |
145 |
$1.73 |
| 3074F |
|
1,407 |
1,329 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3079F |
|
79 |
78 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90677 |
|
14 |
12 |
$0.00 |
| 3078F |
|
1,098 |
1,046 |
$0.00 |
| 90662 |
|
41 |
41 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
52 |
49 |
$0.00 |