| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,822 |
1,704 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,097 |
1,067 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,258 |
1,086 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
700 |
669 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
579 |
570 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
332 |
$34K |
| 87428 |
|
487 |
468 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,104 |
1,058 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
904 |
878 |
$15K |
| 90461 |
|
451 |
440 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,451 |
1,394 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
624 |
607 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
34 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
78 |
$3K |
| 90473 |
|
245 |
238 |
$3K |
| 99460 |
|
45 |
32 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
46 |
$967.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$248.96 |
| 99173 |
|
42 |
42 |
$113.51 |
| 90686 |
|
84 |
84 |
$3.95 |
| 90656 |
|
12 |
12 |
$0.12 |