| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,898 |
6,420 |
$606K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
614 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
510 |
510 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
499 |
499 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
643 |
643 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,047 |
1,043 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
200 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
168 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
361 |
355 |
$14K |
| 99408 |
|
243 |
242 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
357 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
145 |
$2K |
| 80305 |
|
13 |
13 |
$145.73 |
| 90651 |
|
56 |
56 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90619 |
|
18 |
18 |
$0.00 |
| 96160 |
|
362 |
361 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90670 |
|
34 |
34 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |