| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,508 |
11,819 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,523 |
4,907 |
$285K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,810 |
1,721 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,621 |
1,537 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,209 |
3,048 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
809 |
786 |
$64K |
| 90670 |
|
1,594 |
1,519 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
440 |
425 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
432 |
416 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
163 |
$13K |
| 99381 |
|
78 |
70 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
544 |
477 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
352 |
339 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
312 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$3K |
| 92551 |
|
433 |
385 |
$3K |
| 90647 |
|
618 |
587 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 90715 |
|
91 |
90 |
$1K |
| 90658 |
|
149 |
130 |
$1K |
| 99383 |
|
18 |
12 |
$1K |
| 90710 |
|
643 |
628 |
$672.00 |
| 99173 |
|
181 |
163 |
$400.56 |
| 87400 |
|
38 |
36 |
$242.90 |
| 90696 |
|
120 |
116 |
$141.00 |
| 81002 |
|
29 |
26 |
$78.24 |
| 90698 |
|
67 |
66 |
$49.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
336 |
325 |
$41.01 |
| 90657 |
|
12 |
12 |
$16.26 |
| 90680 |
|
469 |
450 |
$0.00 |
| 90723 |
|
1,085 |
1,028 |
$0.00 |