| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,776 |
8,623 |
$521K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,080 |
10,605 |
$493K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,058 |
1,031 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
845 |
823 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,044 |
2,738 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
478 |
448 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
849 |
742 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,728 |
2,979 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
327 |
309 |
$22K |
| 92551 |
|
2,291 |
2,245 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,219 |
1,183 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
113 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,573 |
2,421 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,155 |
1,980 |
$4K |
| 90686 |
|
824 |
749 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,833 |
2,601 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$992.10 |
| 90688 |
|
462 |
362 |
$911.91 |
| 99422 |
|
106 |
63 |
$573.96 |
| 80050 |
General health panel |
20 |
20 |
$565.52 |
| 81002 |
|
219 |
191 |
$381.17 |
| 81025 |
|
53 |
52 |
$296.96 |
| 80061 |
Lipid panel |
20 |
12 |
$95.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
17 |
$79.75 |
| 85018 |
|
12 |
12 |
$28.32 |
| 90670 |
|
14 |
12 |
$0.00 |
| 90649 |
|
191 |
187 |
$0.00 |
| 90734 |
|
161 |
158 |
$0.00 |
| 99072 |
|
157 |
111 |
$0.00 |
| 90633 |
|
54 |
52 |
$0.00 |
| 90620 |
|
31 |
30 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
43 |
$0.00 |