| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,105 |
11,863 |
$550K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,475 |
6,088 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,763 |
2,760 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,486 |
2,372 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,338 |
2,333 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,210 |
4,031 |
$120K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,522 |
11,058 |
$106K |
| 92552 |
|
3,641 |
3,635 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,488 |
1,488 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,640 |
7,614 |
$86K |
| 90461 |
|
1,687 |
1,653 |
$64K |
| 96127 |
|
4,564 |
4,446 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,889 |
2,828 |
$40K |
| 92587 |
|
1,627 |
1,620 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,751 |
1,738 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,483 |
832 |
$21K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
138 |
135 |
$20K |
| 99177 |
|
3,765 |
3,760 |
$17K |
| 83655 |
|
1,480 |
1,470 |
$16K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
744 |
728 |
$7K |
| 99188 |
|
261 |
260 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
225 |
$6K |
| 92015 |
Determination of refractive state |
357 |
353 |
$5K |
| 92551 |
|
483 |
483 |
$5K |
| 99051 |
|
564 |
553 |
$4K |
| 0071A |
|
82 |
82 |
$4K |
| 90621 |
|
58 |
57 |
$3K |
| 0072A |
|
74 |
74 |
$3K |
| 85018 |
|
1,534 |
1,525 |
$3K |
| 99381 |
|
38 |
37 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
97 |
$3K |
| 90620 |
|
29 |
28 |
$3K |
| 99173 |
|
131 |
130 |
$2K |
| 90691 |
|
16 |
15 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
48 |
$1K |
| 99441 |
|
121 |
117 |
$1K |
| 96160 |
|
4,491 |
4,376 |
$632.19 |
| 87807 |
|
34 |
34 |
$392.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$184.17 |
| 96161 |
|
822 |
800 |
$118.02 |
| 81002 |
|
28 |
26 |
$79.82 |
| 90686 |
|
1,162 |
1,148 |
$40.00 |
| 90744 |
|
361 |
361 |
$0.00 |
| 36416 |
|
566 |
557 |
$0.00 |
| 90680 |
|
576 |
573 |
$0.00 |
| 90698 |
|
945 |
917 |
$0.00 |
| 90651 |
|
274 |
272 |
$0.00 |
| 90696 |
|
56 |
56 |
$0.00 |
| 90619 |
|
64 |
63 |
$0.00 |
| 90688 |
|
1,367 |
1,363 |
$0.00 |
| 90677 |
|
585 |
473 |
$0.00 |
| 90697 |
|
222 |
201 |
$0.00 |
| 99000 |
|
42 |
41 |
$0.00 |
| 91307 |
|
184 |
170 |
$0.00 |
| 90716 |
|
51 |
51 |
$0.00 |
| 90656 |
|
120 |
120 |
$0.00 |
| 94760 |
|
15 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 90633 |
|
605 |
601 |
$0.00 |
| 90734 |
|
202 |
201 |
$0.00 |
| 90661 |
|
253 |
252 |
$0.00 |
| 90670 |
|
935 |
931 |
$0.00 |
| 90681 |
|
173 |
132 |
$0.00 |
| 90710 |
|
101 |
101 |
$0.00 |
| 90649 |
|
115 |
115 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| 90707 |
|
56 |
52 |
$0.00 |
| 91311 |
|
34 |
34 |
$0.00 |
| G8447 |
|
75 |
74 |
$0.00 |
| 90671 |
|
16 |
16 |
$0.00 |
| 90685 |
|
38 |
38 |
$0.00 |