| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,549 |
18,558 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,537 |
4,536 |
$365K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,351 |
12,323 |
$319K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,229 |
3,229 |
$263K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,430 |
2,417 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,624 |
1,624 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,025 |
1,009 |
$105K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,720 |
2,672 |
$103K |
| 87428 |
|
1,376 |
1,351 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,986 |
1,689 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,166 |
1,151 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
842 |
426 |
$12K |
| 0072A |
|
63 |
63 |
$2K |
| 0071A |
|
62 |
62 |
$2K |
| 83655 |
|
180 |
180 |
$2K |
| 99381 |
|
24 |
24 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
139 |
$1K |
| 87807 |
|
94 |
94 |
$1K |
| 90686 |
|
2,971 |
2,971 |
$935.86 |
| 90651 |
|
80 |
79 |
$712.50 |
| 90620 |
|
133 |
133 |
$683.36 |
| 85018 |
|
242 |
242 |
$500.59 |
| 99051 |
|
74 |
74 |
$466.41 |
| 92552 |
|
12 |
12 |
$349.49 |
| 94760 |
|
556 |
520 |
$96.98 |
| 90715 |
|
40 |
40 |
$95.51 |
| 90656 |
|
339 |
339 |
$92.94 |
| 90461 |
|
2,674 |
2,672 |
$17.46 |
| 99173 |
|
15 |
15 |
$5.28 |
| 90723 |
|
600 |
600 |
$0.00 |
| 90680 |
|
430 |
430 |
$0.00 |
| 90647 |
|
569 |
569 |
$0.00 |
| 91307 |
|
120 |
120 |
$0.00 |
| 90670 |
|
747 |
747 |
$0.00 |
| 90671 |
|
627 |
627 |
$0.00 |
| 90633 |
|
284 |
283 |
$0.00 |
| 90734 |
|
217 |
217 |
$0.00 |
| 99072 |
|
27 |
27 |
$0.00 |