| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,123 |
6,196 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
687 |
678 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
534 |
495 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
370 |
366 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,797 |
1,757 |
$14K |
| 92587 |
|
716 |
690 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,010 |
990 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
149 |
143 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
394 |
337 |
$3K |
| 99072 |
|
347 |
293 |
$3K |
| 99173 |
|
936 |
768 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$2K |
| 87428 |
|
63 |
62 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
121 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
168 |
$1K |
| 87807 |
|
110 |
103 |
$575.88 |
| 90700 |
|
16 |
16 |
$170.00 |
| 90648 |
|
24 |
24 |
$130.00 |
| 90670 |
|
78 |
76 |
$130.00 |
| 90656 |
|
28 |
28 |
$86.33 |
| 90633 |
|
30 |
29 |
$80.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 96160 |
|
141 |
136 |
$0.00 |