| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,997 |
6,158 |
$476K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,622 |
1,568 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,544 |
1,482 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,608 |
1,360 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
821 |
782 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
928 |
892 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,186 |
3,007 |
$62K |
| 90461 |
|
1,610 |
1,511 |
$46K |
| 92587 |
|
950 |
927 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
886 |
852 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,983 |
977 |
$24K |
| 92588 |
|
228 |
222 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,095 |
1,063 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
827 |
777 |
$9K |
| 99177 |
|
937 |
906 |
$4K |
| 81002 |
|
1,868 |
1,805 |
$4K |
| 96127 |
|
1,343 |
983 |
$4K |
| 87807 |
|
318 |
307 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
70 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
201 |
191 |
$2K |
| 99173 |
|
622 |
612 |
$993.06 |
| 83655 |
|
48 |
44 |
$649.80 |
| 85014 |
|
60 |
53 |
$410.16 |
| 85018 |
|
60 |
53 |
$410.16 |
| 90686 |
|
238 |
131 |
$110.82 |