| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,075 |
942 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
443 |
430 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
373 |
365 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
394 |
389 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
281 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
187 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
963 |
916 |
$17K |
| 90461 |
|
496 |
471 |
$16K |
| 87428 |
|
71 |
71 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
176 |
172 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
49 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
151 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
62 |
$524.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$338.10 |
| 99173 |
|
76 |
74 |
$163.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$137.40 |