| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,482 |
4,041 |
$224K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,384 |
3,135 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,502 |
1,449 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,769 |
4,653 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,065 |
1,065 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,104 |
1,101 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
944 |
941 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,812 |
1,803 |
$28K |
| 92552 |
|
2,209 |
2,195 |
$28K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,424 |
1,421 |
$16K |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,414 |
1,410 |
$16K |
| 3008F |
|
1,885 |
1,881 |
$15K |
| 92587 |
|
613 |
601 |
$15K |
| 90686 |
|
749 |
748 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
87 |
$6K |
| 92551 |
|
554 |
552 |
$5K |
| 99173 |
|
2,220 |
2,214 |
$4K |
| 90461 |
|
337 |
327 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
64 |
$4K |
| 90651 |
|
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
132 |
$2K |
| 90734 |
|
31 |
31 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
60 |
60 |
$1K |
| 86580 |
|
242 |
228 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
32 |
$440.77 |
| 90620 |
|
12 |
12 |
$385.26 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$226.80 |
| 90700 |
|
13 |
12 |
$90.43 |
| 90685 |
|
13 |
13 |
$36.72 |