| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,862 |
7,551 |
$658K |
| 96127 |
|
6,399 |
4,417 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,470 |
1,240 |
$144K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,305 |
1,070 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,266 |
1,067 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,302 |
2,911 |
$92K |
| 92558 |
|
3,657 |
2,966 |
$66K |
| 99174 |
|
4,257 |
3,457 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
483 |
415 |
$57K |
| 96160 |
|
3,351 |
2,714 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,156 |
892 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
320 |
263 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,694 |
1,410 |
$32K |
| 99188 |
|
714 |
629 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
203 |
182 |
$7K |
| 92587 |
|
236 |
180 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
29 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
386 |
338 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
62 |
$2K |
| 99442 |
|
37 |
31 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
28 |
$261.07 |
| 99050 |
|
15 |
14 |
$225.12 |
| 83655 |
|
23 |
18 |
$197.64 |
| 99173 |
|
18 |
14 |
$91.20 |
| 90686 |
|
1,039 |
826 |
$21.56 |
| 90734 |
|
83 |
78 |
$0.01 |
| 90670 |
|
91 |
87 |
$0.00 |
| 90461 |
|
905 |
641 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90715 |
|
39 |
35 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |
| 85018 |
|
31 |
28 |
$0.00 |
| 90656 |
|
167 |
152 |
$0.00 |
| 90651 |
|
44 |
41 |
$0.00 |
| 90619 |
|
63 |
48 |
$0.00 |
| 90723 |
|
30 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
19 |
$0.00 |
| 90716 |
|
19 |
17 |
$0.00 |