| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,462 |
4,032 |
$151K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,698 |
2,612 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
355 |
344 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,706 |
1,364 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
255 |
250 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
123 |
121 |
$17K |
| 0071A |
|
426 |
421 |
$14K |
| 0072A |
|
338 |
338 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
125 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
199 |
194 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
372 |
$5K |
| 0001A |
|
57 |
54 |
$2K |
| 0002A |
|
44 |
44 |
$2K |
| 92551 |
|
748 |
733 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$858.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
48 |
$653.30 |
| 96160 |
|
268 |
263 |
$538.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
66 |
$514.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49 |
49 |
$374.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$92.35 |
| 90674 |
|
143 |
140 |
$24.07 |
| 90715 |
|
121 |
118 |
$0.00 |
| 90734 |
|
120 |
117 |
$0.00 |
| 90633 |
|
92 |
89 |
$0.00 |
| 91300 |
|
19 |
15 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90661 |
|
100 |
100 |
$0.00 |
| 90670 |
|
50 |
50 |
$0.00 |
| 91307 |
|
798 |
711 |
$0.00 |
| 90651 |
|
199 |
187 |
$0.00 |
| 90686 |
|
483 |
473 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90619 |
|
42 |
40 |
$0.00 |
| 90688 |
|
86 |
86 |
$0.00 |