| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,114 |
4,472 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,852 |
1,690 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,494 |
1,320 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,201 |
1,077 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,173 |
1,912 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,065 |
2,698 |
$38K |
| 96160 |
|
3,722 |
3,316 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
410 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,144 |
980 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
251 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,537 |
1,410 |
$17K |
| 92551 |
|
2,438 |
2,139 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
439 |
398 |
$14K |
| 96127 |
|
4,092 |
2,495 |
$14K |
| 99173 |
|
2,801 |
2,465 |
$13K |
| 92587 |
|
332 |
306 |
$11K |
| 99460 |
|
208 |
174 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
196 |
$5K |
| 99462 |
|
268 |
148 |
$5K |
| 87807 |
|
446 |
396 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
137 |
$4K |
| 90670 |
|
1,016 |
925 |
$3K |
| 90474 |
|
387 |
365 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
194 |
168 |
$3K |
| 90677 |
|
13 |
12 |
$2K |
| 90686 |
|
475 |
417 |
$658.31 |
| 95115 |
|
54 |
26 |
$460.61 |
| 3008F |
|
47 |
41 |
$420.00 |
| 90716 |
|
99 |
90 |
$415.51 |
| 83655 |
|
33 |
30 |
$399.37 |
| 90707 |
|
99 |
90 |
$239.67 |
| 90680 |
|
387 |
365 |
$156.99 |
| 90633 |
|
203 |
187 |
$145.96 |
| 81002 |
|
37 |
36 |
$94.44 |
| 85018 |
|
17 |
15 |
$37.35 |
| 90648 |
|
982 |
902 |
$27.63 |
| 90723 |
|
92 |
88 |
$0.00 |
| 90696 |
|
27 |
25 |
$0.00 |
| 90700 |
|
101 |
87 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |