| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,738 |
8,052 |
$505K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,597 |
5,414 |
$282K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,154 |
2,906 |
$273K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,541 |
1,510 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
312 |
293 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
661 |
630 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
122 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
138 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
170 |
164 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
176 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
46 |
$1K |
| 36416 |
|
396 |
363 |
$1K |
| 90723 |
|
1,175 |
1,156 |
$991.18 |
| 90686 |
|
1,541 |
1,438 |
$632.44 |
| 90670 |
|
1,626 |
1,591 |
$288.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$264.74 |
| 90710 |
|
129 |
129 |
$199.98 |
| 90647 |
|
1,124 |
1,110 |
$111.10 |
| 90680 |
|
989 |
972 |
$108.20 |
| 83655 |
|
12 |
12 |
$70.70 |
| 85018 |
|
36 |
36 |
$49.71 |
| 99174 |
|
13 |
13 |
$46.50 |
| 99072 |
|
1,083 |
990 |
$1.58 |
| 90671 |
|
212 |
210 |
$0.29 |
| 90633 |
|
274 |
270 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90656 |
|
102 |
102 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 99441 |
|
24 |
21 |
$0.00 |
| 99000 |
|
31 |
27 |
$0.00 |