| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,608 |
12,101 |
$833K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,451 |
5,685 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,248 |
1,020 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
916 |
885 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,047 |
888 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
876 |
821 |
$86K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,827 |
1,692 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
622 |
574 |
$63K |
| 87428 |
|
796 |
730 |
$24K |
| 92551 |
|
4,142 |
3,765 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
929 |
887 |
$23K |
| 99051 |
|
3,673 |
3,191 |
$22K |
| 36416 |
|
6,076 |
5,454 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,632 |
613 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,310 |
1,146 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
384 |
359 |
$13K |
| 99173 |
|
1,651 |
1,548 |
$11K |
| 94760 |
|
7,751 |
6,421 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
549 |
499 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
42 |
$2K |
| 99174 |
|
96 |
89 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 87280 |
|
92 |
85 |
$946.93 |
| 0071A |
|
20 |
20 |
$760.00 |
| 0072A |
|
18 |
18 |
$680.00 |
| 90473 |
|
12 |
12 |
$315.36 |
| 90686 |
|
2,516 |
2,232 |
$296.59 |
| 96127 |
|
14 |
14 |
$234.00 |
| 83655 |
|
16 |
14 |
$127.16 |
| 85018 |
|
6,098 |
5,310 |
$56.50 |
| 90656 |
|
110 |
110 |
$20.12 |
| 81003 |
|
3,145 |
2,758 |
$4.82 |
| 90671 |
|
260 |
226 |
$0.19 |
| 90680 |
|
103 |
90 |
$0.00 |
| 90697 |
|
73 |
68 |
$0.00 |
| 90723 |
|
91 |
76 |
$0.00 |
| 90696 |
|
45 |
39 |
$0.00 |
| 90651 |
|
15 |
13 |
$0.00 |
| 3008F |
|
77 |
77 |
$0.00 |
| 88738 |
|
26 |
24 |
$0.00 |
| 90619 |
|
27 |
25 |
$0.00 |
| 3074F |
|
220 |
211 |
$0.00 |
| 91307 |
|
38 |
38 |
$0.00 |
| 90670 |
|
271 |
220 |
$0.00 |
| 90648 |
|
89 |
78 |
$0.00 |
| 3078F |
|
208 |
201 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 90633 |
|
82 |
69 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 90621 |
|
15 |
13 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |