| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,631 |
15,918 |
$794K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,638 |
1,621 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,285 |
2,779 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,130 |
3,077 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,250 |
1,237 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,043 |
1,025 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,301 |
2,243 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,954 |
1,478 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
467 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
441 |
426 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,295 |
1,284 |
$18K |
| 90461 |
|
881 |
871 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
690 |
668 |
$7K |
| 3008F |
|
3,467 |
3,404 |
$6K |
| 90651 |
|
103 |
100 |
$6K |
| 90677 |
|
28 |
28 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
316 |
311 |
$4K |
| 90686 |
|
793 |
772 |
$3K |
| 99173 |
|
3,275 |
3,226 |
$3K |
| 90670 |
|
97 |
93 |
$1K |
| 90656 |
|
142 |
142 |
$1K |
| 90674 |
|
45 |
45 |
$812.70 |
| 90734 |
|
32 |
32 |
$712.63 |
| 90620 |
|
12 |
12 |
$402.60 |
| 90710 |
|
16 |
15 |
$210.00 |
| 90661 |
|
24 |
24 |
$206.92 |
| 90715 |
|
28 |
28 |
$175.97 |
| 90648 |
|
112 |
110 |
$136.52 |
| 90633 |
|
44 |
44 |
$100.47 |
| 90700 |
|
12 |
12 |
$97.97 |
| 99072 |
|
53 |
52 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99070 |
|
185 |
165 |
$0.00 |