| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,799 |
2,596 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,187 |
1,130 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
295 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
799 |
643 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
142 |
$21K |
| 90461 |
|
282 |
243 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
172 |
$17K |
| 87428 |
|
252 |
250 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
160 |
155 |
$12K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
42 |
42 |
$9K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
38 |
37 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
402 |
393 |
$8K |
| 99050 |
|
152 |
142 |
$5K |
| 99051 |
|
113 |
112 |
$4K |
| 92552 |
|
189 |
184 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
27 |
12 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
176 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
69 |
$2K |
| 96161 |
|
29 |
28 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
25 |
$861.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$439.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$158.21 |
| 96127 |
|
12 |
12 |
$37.95 |
| 90686 |
|
52 |
32 |
$26.00 |