| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,519 |
6,059 |
$2.59M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
250 |
214 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
262 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
327 |
234 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
275 |
181 |
$84K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
55 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,264 |
2,870 |
$32K |
| 99215 |
Prolong outpt/office vis |
55 |
40 |
$32K |
| 85018 |
|
67 |
36 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
29 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$3K |
| 99441 |
|
45 |
38 |
$945.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
60 |
$862.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
65 |
61 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,691 |
2,358 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |