| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,672 |
5,162 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,858 |
1,802 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,671 |
1,630 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,256 |
1,221 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,623 |
1,404 |
$111K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,169 |
2,070 |
$35K |
| 87428 |
|
611 |
584 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
861 |
779 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,523 |
3,383 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
161 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
947 |
913 |
$13K |
| 90461 |
|
378 |
371 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
706 |
691 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
140 |
107 |
$7K |
| 99051 |
|
213 |
205 |
$5K |
| 99460 |
|
115 |
76 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
331 |
317 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
12 |
$1K |
| 90473 |
|
128 |
117 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
52 |
$1K |
| 0071A |
|
13 |
13 |
$520.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$465.65 |
| 99462 |
|
17 |
14 |
$401.83 |
| 94760 |
|
123 |
119 |
$252.05 |
| 90686 |
|
240 |
226 |
$12.70 |