| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,874 |
2,765 |
$173K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,811 |
2,789 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,206 |
1,166 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,049 |
1,033 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
188 |
186 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
153 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
375 |
374 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
169 |
158 |
$5K |
| 90461 |
|
148 |
147 |
$3K |
| 92551 |
|
286 |
283 |
$3K |
| 94760 |
|
1,357 |
1,304 |
$3K |
| 90473 |
|
75 |
75 |
$1K |
| 96127 |
|
269 |
264 |
$1K |
| 92587 |
|
40 |
40 |
$682.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
88 |
$630.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
29 |
$441.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$192.00 |
| 99188 |
|
12 |
12 |
$132.84 |
| 90686 |
|
1,023 |
1,013 |
$123.06 |
| 87807 |
|
12 |
12 |
$89.98 |
| 90672 |
|
250 |
250 |
$59.86 |
| 90685 |
|
19 |
19 |
$44.44 |
| 99173 |
|
217 |
214 |
$0.00 |
| 97802 |
|
735 |
729 |
$0.00 |
| 90660 |
|
29 |
29 |
$0.00 |
| 90656 |
|
84 |
84 |
$0.00 |
| 99000 |
|
71 |
70 |
$0.00 |