| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,322 |
2,072 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,160 |
1,083 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
885 |
879 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
684 |
676 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
274 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
893 |
870 |
$17K |
| 87631 |
|
286 |
281 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
240 |
236 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,431 |
1,402 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
312 |
307 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
665 |
658 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
542 |
271 |
$7K |
| D0190 |
|
322 |
322 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
513 |
506 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
216 |
$3K |
| 96127 |
|
1,046 |
1,023 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
55 |
$3K |
| 99188 |
|
347 |
344 |
$2K |
| 87503 |
|
236 |
232 |
$2K |
| 90474 |
|
244 |
244 |
$2K |
| 87807 |
|
170 |
164 |
$2K |
| 96161 |
|
483 |
455 |
$558.41 |
| 83655 |
|
54 |
54 |
$541.62 |
| 85018 |
|
81 |
81 |
$158.76 |
| 90670 |
|
531 |
526 |
$0.00 |
| 90633 |
|
132 |
132 |
$0.00 |
| 90461 |
|
495 |
372 |
$0.00 |
| 90680 |
|
294 |
288 |
$0.00 |
| 90698 |
|
392 |
387 |
$0.00 |
| 90686 |
|
242 |
241 |
$0.00 |
| 90744 |
|
167 |
166 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |