| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,991 |
5,323 |
$446K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,830 |
1,771 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,070 |
1,065 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
371 |
369 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
916 |
904 |
$17K |
| 99442 |
|
202 |
196 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
714 |
705 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
103 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
194 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
209 |
$2K |
| 96161 |
|
370 |
366 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$2K |
| 99460 |
|
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$1K |
| 96127 |
|
264 |
263 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$955.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$764.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$360.54 |
| 87807 |
|
26 |
26 |
$301.25 |
| 99441 |
|
14 |
14 |
$177.38 |
| 83655 |
|
14 |
14 |
$150.78 |
| 85018 |
|
14 |
14 |
$29.54 |
| 90670 |
|
236 |
234 |
$0.00 |
| 90671 |
|
102 |
102 |
$0.00 |
| 90710 |
|
49 |
47 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| 90697 |
|
85 |
84 |
$0.00 |