| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,866 |
2,675 |
$234K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,025 |
1,018 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,567 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
855 |
845 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
744 |
706 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
403 |
$41K |
| 87428 |
|
598 |
582 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,108 |
1,113 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,286 |
1,265 |
$15K |
| 99000 |
|
1,266 |
1,226 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,299 |
954 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,198 |
886 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
590 |
573 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
180 |
178 |
$9K |
| 81002 |
|
1,454 |
1,432 |
$5K |
| 90461 |
|
468 |
442 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
40 |
$984.02 |
| 90474 |
|
53 |
52 |
$478.14 |
| 0081A |
|
16 |
12 |
$453.75 |
| 90686 |
|
931 |
927 |
$20.31 |
| 91307 |
|
16 |
15 |
$15.89 |
| 90670 |
|
457 |
449 |
$0.00 |
| 90648 |
|
18 |
18 |
$0.00 |
| 90633 |
|
143 |
143 |
$0.00 |
| 90707 |
|
43 |
43 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90716 |
|
54 |
54 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| 90697 |
|
256 |
252 |
$0.00 |
| 90677 |
|
77 |
77 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90651 |
|
132 |
130 |
$0.00 |
| 90680 |
|
252 |
248 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |