| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,771 |
5,505 |
$728K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,458 |
3,300 |
$572K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,739 |
3,684 |
$491K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,064 |
3,064 |
$442K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,848 |
4,842 |
$223K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,262 |
1,262 |
$200K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,091 |
5,085 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
338 |
338 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,346 |
1,345 |
$56K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
333 |
327 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,911 |
1,909 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
305 |
$28K |
| 99460 |
|
147 |
147 |
$23K |
| 54150 |
|
110 |
110 |
$18K |
| 96161 |
|
1,529 |
1,518 |
$8K |
| 87428 |
|
203 |
200 |
$6K |
| 96127 |
|
559 |
552 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
223 |
$3K |
| 99188 |
|
199 |
199 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
39 |
$2K |
| 99173 |
|
398 |
398 |
$2K |
| 96380 |
|
78 |
78 |
$2K |
| 99381 |
|
16 |
16 |
$2K |
| 0071A |
|
35 |
35 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 90473 |
|
64 |
64 |
$1K |
| 0111A |
|
21 |
21 |
$840.00 |
| 90677 |
|
795 |
795 |
$558.15 |
| 87807 |
|
30 |
28 |
$349.50 |
| 90474 |
|
17 |
17 |
$311.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
18 |
$294.40 |
| 90686 |
|
1,118 |
1,118 |
$19.23 |
| 90681 |
|
498 |
498 |
$0.32 |
| 90656 |
|
241 |
241 |
$0.20 |
| 90660 |
|
32 |
32 |
$0.07 |
| 90633 |
|
848 |
848 |
$0.04 |
| 90381 |
|
30 |
30 |
$0.01 |
| 96160 |
|
1,102 |
1,101 |
$0.00 |
| 90670 |
|
1,852 |
1,852 |
$0.00 |
| 90707 |
|
88 |
88 |
$0.00 |
| 91311 |
|
48 |
48 |
$0.00 |
| 90700 |
|
138 |
138 |
$0.00 |
| 90672 |
|
307 |
307 |
$0.00 |
| 90710 |
|
121 |
121 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90671 |
|
34 |
34 |
$0.00 |
| 90723 |
|
2,060 |
2,060 |
$0.00 |
| 90647 |
|
1,944 |
1,944 |
$0.00 |
| 90674 |
|
439 |
439 |
$0.00 |
| 90680 |
|
1,093 |
1,093 |
$0.00 |
| 90696 |
|
66 |
66 |
$0.00 |
| 90716 |
|
77 |
77 |
$0.00 |
| 90651 |
|
46 |
46 |
$0.00 |
| 90688 |
|
67 |
67 |
$0.00 |
| 91307 |
|
21 |
21 |
$0.00 |