| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,582 |
7,845 |
$744K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,596 |
1,990 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
758 |
593 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
460 |
369 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
470 |
351 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
142 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
33 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,637 |
3,046 |
$107.67 |
| 90677 |
|
207 |
174 |
$0.53 |
| 90710 |
|
205 |
177 |
$0.31 |
| 90696 |
|
216 |
173 |
$0.18 |
| 90633 |
|
290 |
218 |
$0.16 |
| 90680 |
|
124 |
97 |
$0.13 |
| 90698 |
|
220 |
181 |
$0.02 |
| 90700 |
|
15 |
12 |
$0.02 |
| 85018 |
|
514 |
396 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
599 |
$0.00 |
| 90651 |
|
398 |
289 |
$0.00 |
| 90474 |
|
121 |
94 |
$0.00 |
| 90619 |
|
155 |
113 |
$0.00 |
| 90686 |
|
105 |
93 |
$0.00 |
| 90744 |
|
81 |
68 |
$0.00 |
| 96127 |
|
115 |
77 |
$0.00 |
| 90697 |
|
199 |
138 |
$0.00 |
| 87428 |
|
26 |
25 |
$0.00 |
| 96161 |
|
34 |
28 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 92552 |
|
1,176 |
893 |
$0.00 |
| 90670 |
|
508 |
395 |
$0.00 |
| 99173 |
|
1,616 |
1,249 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
802 |
610 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,414 |
2,033 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
282 |
203 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
801 |
633 |
$0.00 |
| 90734 |
|
70 |
70 |
$0.00 |
| 90715 |
|
186 |
152 |
$0.00 |
| 90707 |
|
48 |
38 |
$0.00 |
| 90621 |
|
22 |
13 |
$0.00 |