| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,669 |
1,971 |
$165K |
| 99199 |
Unlisted special service, procedure or report |
11,265 |
6,853 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
521 |
419 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,710 |
1,391 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,269 |
1,761 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
427 |
358 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
318 |
186 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
78 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
32 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
82 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$1K |
| 0072A |
|
19 |
13 |
$916.28 |
| 92551 |
|
236 |
167 |
$795.43 |
| 0071A |
|
14 |
12 |
$780.00 |
| 90686 |
|
461 |
387 |
$659.24 |
| 99173 |
|
1,063 |
781 |
$603.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$422.50 |
| 96127 |
|
14 |
14 |
$59.71 |
| 90674 |
|
18 |
13 |
$0.00 |
| 91307 |
|
33 |
23 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90685 |
|
18 |
17 |
$0.00 |