| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,251 |
11,213 |
$866K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,160 |
7,778 |
$378K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,056 |
3,008 |
$308K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,104 |
2,040 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,326 |
2,178 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,762 |
1,714 |
$184K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,474 |
3,296 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,068 |
1,022 |
$117K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,540 |
4,392 |
$43K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
248 |
244 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,955 |
1,900 |
$30K |
| 92551 |
|
3,462 |
3,277 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
415 |
404 |
$11K |
| 99173 |
|
1,087 |
1,058 |
$3K |
| 99383 |
|
26 |
26 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
72 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$3K |
| 85018 |
|
735 |
725 |
$2K |
| 99401 |
|
1,906 |
1,809 |
$2K |
| 0071A |
|
47 |
36 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 0072A |
|
27 |
27 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
46 |
$1K |
| 96127 |
|
249 |
232 |
$1K |
| 0001A |
|
21 |
21 |
$888.76 |
| 0002A |
|
15 |
15 |
$608.00 |
| 99188 |
|
30 |
30 |
$549.70 |
| 90647 |
|
965 |
920 |
$417.21 |
| 90686 |
|
1,811 |
1,721 |
$360.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$254.71 |
| 90651 |
|
232 |
214 |
$216.99 |
| 36416 |
|
364 |
349 |
$171.77 |
| 81000 |
|
14 |
12 |
$59.26 |
| 90633 |
|
683 |
669 |
$58.85 |
| 90672 |
|
35 |
32 |
$28.31 |
| 90700 |
|
38 |
38 |
$0.00 |
| 90670 |
|
1,861 |
1,776 |
$0.00 |
| 90707 |
|
471 |
462 |
$0.00 |
| 90681 |
|
137 |
122 |
$0.00 |
| 90734 |
|
265 |
252 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 90685 |
|
55 |
54 |
$0.00 |
| 90723 |
|
952 |
909 |
$0.00 |
| 90716 |
|
474 |
464 |
$0.00 |
| 91307 |
|
77 |
64 |
$0.00 |
| 90620 |
|
45 |
43 |
$0.00 |
| 90696 |
|
37 |
36 |
$0.00 |
| 90656 |
|
76 |
73 |
$0.00 |