| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,547 |
8,879 |
$726K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,965 |
4,791 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,639 |
1,522 |
$182K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
544 |
519 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
203 |
$27K |
| 96127 |
|
827 |
783 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
415 |
403 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
68 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
55 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
119 |
118 |
$4K |
| 96160 |
|
222 |
216 |
$4K |
| 36416 |
|
880 |
850 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
122 |
$3K |
| 99051 |
|
251 |
241 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
50 |
$1K |
| 99173 |
|
174 |
167 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$633.32 |
| 90686 |
|
1,715 |
1,650 |
$517.22 |
| 92552 |
|
57 |
52 |
$504.81 |
| 99174 |
|
13 |
13 |
$260.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$249.49 |
| 81002 |
|
1,511 |
1,438 |
$146.40 |
| 85018 |
|
703 |
684 |
$106.22 |
| 90656 |
|
272 |
263 |
$44.00 |
| 99000 |
|
603 |
549 |
$0.00 |
| 90461 |
|
421 |
419 |
$0.00 |
| 99072 |
|
1,759 |
1,629 |
$0.00 |
| 99188 |
|
297 |
294 |
$0.00 |