| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,316 |
1,560 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,921 |
1,749 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
98 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
362 |
360 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$3K |
| 92551 |
|
424 |
423 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
60 |
57 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
111 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$684.80 |
| 90473 |
|
31 |
31 |
$393.77 |
| 90686 |
|
95 |
93 |
$383.17 |
| 96127 |
|
64 |
64 |
$185.27 |
| 90672 |
|
69 |
69 |
$85.24 |
| G9007 |
Coordinated care fee, scheduled team conference |
166 |
159 |
$0.01 |
| 99173 |
|
224 |
224 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
72 |
72 |
$0.00 |