| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,737 |
3,118 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,845 |
1,373 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
326 |
326 |
$15K |
| 92551 |
|
535 |
533 |
$7K |
| 99000 |
|
1,140 |
1,075 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
125 |
115 |
$2K |
| 90686 |
|
138 |
136 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
13 |
$1K |
| 85018 |
|
552 |
543 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
12 |
$1K |
| 81002 |
|
875 |
841 |
$1K |
| 85999 |
|
288 |
288 |
$866.88 |
| 81000 |
|
309 |
309 |
$856.17 |
| 99173 |
|
263 |
263 |
$720.51 |
| 90658 |
|
41 |
41 |
$366.00 |
| 90734 |
|
41 |
41 |
$342.00 |
| 90649 |
|
26 |
26 |
$225.00 |
| 90651 |
|
13 |
13 |
$117.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$17.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
34 |
$0.00 |