| Code | Description | Claims | Beneficiaries | Total Paid |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,074 |
4,349 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,766 |
6,537 |
$27K |
| 90461 |
|
1,989 |
765 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,086 |
1,193 |
$16K |
| 99443 |
|
5,899 |
4,444 |
$15K |
| 90651 |
|
1,975 |
1,618 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,845 |
4,423 |
$2K |
| 90670 |
|
1,392 |
1,175 |
$2K |
| 90700 |
|
2,533 |
2,009 |
$2K |
| 0003A |
|
55 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
128 |
$2K |
| 90734 |
|
1,398 |
1,188 |
$2K |
| 90688 |
|
1,356 |
1,104 |
$2K |
| 90620 |
|
419 |
394 |
$2K |
| 90713 |
|
1,738 |
1,405 |
$1K |
| 90686 |
|
1,113 |
819 |
$1K |
| 90716 |
|
1,012 |
935 |
$869.63 |
| 90715 |
|
783 |
685 |
$578.61 |
| 96160 |
|
44 |
30 |
$450.00 |
| 90707 |
|
1,039 |
946 |
$416.87 |
| 90621 |
|
67 |
63 |
$265.30 |
| 90680 |
|
176 |
139 |
$257.25 |
| 90744 |
|
536 |
436 |
$226.65 |
| 90633 |
|
903 |
792 |
$197.61 |
| 90474 |
|
88 |
59 |
$192.06 |
| 90648 |
|
706 |
609 |
$176.00 |
| 90647 |
|
465 |
375 |
$126.59 |
| 99442 |
|
40 |
34 |
$73.07 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
403 |
371 |
$64.94 |
| 0073A |
|
25 |
25 |
$0.00 |
| 90662 |
|
39 |
39 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
26 |
$0.00 |
| 90685 |
|
36 |
34 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
16 |
$0.00 |
| 91300 |
|
57 |
53 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
180 |
$0.00 |
| 99383 |
|
51 |
49 |
$0.00 |
| 86580 |
|
137 |
132 |
$0.00 |
| 91307 |
|
52 |
47 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
20 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$0.00 |
| 99384 |
|
31 |
31 |
$0.00 |