| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,776 |
9,907 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,636 |
2,442 |
$126K |
| 99000 |
|
2,514 |
2,374 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
130 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
713 |
323 |
$5K |
| 90674 |
|
126 |
122 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
28 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
52 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
105 |
$960.89 |
| 99443 |
|
27 |
27 |
$895.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
29 |
$633.02 |
| 90461 |
|
16 |
13 |
$82.55 |
| 81003 |
|
12 |
12 |
$18.90 |
| 36415 |
Collection of venous blood by venipuncture |
2,822 |
2,636 |
$7.50 |
| 99072 |
|
15 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
120 |
110 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
12 |
$0.00 |