| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
337 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
295 |
262 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
471 |
397 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
438 |
287 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
76 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
288 |
247 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
12 |
$813.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$658.73 |
| 92551 |
|
88 |
78 |
$562.36 |
| 90474 |
|
66 |
57 |
$510.54 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
18 |
$260.00 |
| 99173 |
|
106 |
96 |
$145.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
13 |
$78.78 |
| 87807 |
|
26 |
15 |
$39.30 |
| 90671 |
|
124 |
104 |
$6.44 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90680 |
|
85 |
75 |
$0.00 |
| 90697 |
|
34 |
28 |
$0.00 |
| 90473 |
|
19 |
16 |
$0.00 |