| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
419 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
324 |
306 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
107 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
74 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
48 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
343 |
324 |
$424.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
158 |
$227.25 |
| 90715 |
|
17 |
16 |
$109.68 |
| 87400 |
|
66 |
55 |
$108.79 |
| 87430 |
|
57 |
53 |
$47.08 |
| 99173 |
|
493 |
459 |
$42.43 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$24.00 |
| 92551 |
|
506 |
472 |
$14.51 |
| 90734 |
|
13 |
13 |
$0.00 |
| 3078F |
|
241 |
208 |
$0.00 |
| 3008F |
|
983 |
873 |
$0.00 |
| 3074F |
|
251 |
219 |
$0.00 |
| 85018 |
|
20 |
18 |
$0.00 |
| 36416 |
|
20 |
18 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |