| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,217 |
10,251 |
$568K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,266 |
11,851 |
$445K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,767 |
3,467 |
$279K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,482 |
3,393 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,442 |
3,184 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,000 |
982 |
$84K |
| 99177 |
|
4,301 |
4,172 |
$18K |
| 0071A |
|
114 |
107 |
$6K |
| 0072A |
|
106 |
99 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
304 |
285 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
97 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
41 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$807.74 |
| 90688 |
|
2,206 |
1,860 |
$739.87 |
| 96127 |
|
58 |
58 |
$258.87 |
| 90480 |
|
12 |
12 |
$256.22 |
| 90698 |
|
384 |
375 |
$150.09 |
| 90687 |
|
306 |
287 |
$94.89 |
| 90670 |
|
1,220 |
1,166 |
$78.40 |
| 96161 |
|
97 |
85 |
$67.09 |
| 94760 |
|
58 |
48 |
$16.13 |
| 90680 |
|
149 |
148 |
$11.94 |
| 90648 |
|
78 |
76 |
$11.90 |
| 90723 |
|
77 |
75 |
$11.90 |
| 90633 |
|
93 |
91 |
$8.86 |
| 99072 |
|
304 |
165 |
$0.00 |
| 90661 |
|
62 |
60 |
$0.00 |
| 90681 |
|
15 |
14 |
$0.00 |
| 90674 |
|
850 |
779 |
$0.00 |
| 99000 |
|
108 |
104 |
$0.00 |
| 36416 |
|
111 |
105 |
$0.00 |
| 91307 |
|
209 |
196 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
27 |
$0.00 |