| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,357 |
5,565 |
$280K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,958 |
1,876 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,868 |
1,738 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,817 |
1,741 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,033 |
989 |
$74K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,840 |
3,645 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,840 |
4,554 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
857 |
802 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,455 |
1,354 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,277 |
2,088 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
708 |
650 |
$22K |
| 92551 |
|
2,903 |
2,773 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,472 |
678 |
$17K |
| 81003 |
|
3,460 |
3,195 |
$7K |
| 96160 |
|
1,631 |
1,292 |
$6K |
| 99173 |
|
3,161 |
2,780 |
$5K |
| 90473 |
|
476 |
468 |
$5K |
| 90474 |
|
500 |
484 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
315 |
$4K |
| 99381 |
|
51 |
49 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
38 |
$3K |
| 83655 |
|
219 |
204 |
$2K |
| 85018 |
|
2,965 |
2,641 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 87807 |
|
98 |
92 |
$1K |
| 99383 |
|
12 |
12 |
$826.70 |
| 99050 |
|
35 |
34 |
$454.92 |
| 99051 |
|
19 |
18 |
$240.84 |
| 90620 |
|
227 |
197 |
$210.57 |
| 90734 |
|
644 |
534 |
$0.00 |
| 90648 |
|
1,761 |
1,637 |
$0.00 |
| 90671 |
|
529 |
485 |
$0.00 |
| 90633 |
|
1,100 |
982 |
$0.00 |
| 90715 |
|
100 |
80 |
$0.00 |
| 90649 |
|
28 |
28 |
$0.00 |
| 90670 |
|
1,221 |
1,146 |
$0.00 |
| 90710 |
|
54 |
51 |
$0.00 |
| 90707 |
|
154 |
142 |
$0.00 |
| 90655 |
|
15 |
15 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 3008F |
|
3,369 |
3,040 |
$0.00 |
| 90723 |
|
1,191 |
1,133 |
$0.00 |
| 90686 |
|
1,641 |
1,525 |
$0.00 |
| 90716 |
|
88 |
80 |
$0.00 |
| 90680 |
|
1,037 |
985 |
$0.00 |
| 90651 |
|
476 |
415 |
$0.00 |
| 90696 |
|
56 |
52 |
$0.00 |
| 90656 |
|
70 |
64 |
$0.00 |