| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,470 |
4,870 |
$429K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,054 |
1,054 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
848 |
819 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,628 |
1,620 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
530 |
530 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
275 |
$33K |
| 99383 |
|
246 |
246 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
503 |
498 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,367 |
1,349 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
224 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
104 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
95 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
256 |
254 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
512 |
502 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
287 |
285 |
$8K |
| 99382 |
|
72 |
72 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
353 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
115 |
$5K |
| 99381 |
|
49 |
49 |
$5K |
| 96127 |
|
680 |
668 |
$3K |
| 99384 |
|
24 |
24 |
$3K |
| 90474 |
|
113 |
113 |
$2K |
| 99173 |
|
586 |
586 |
$1K |
| 96161 |
|
258 |
254 |
$1K |
| 87807 |
|
89 |
88 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
27 |
$580.58 |
| 85018 |
|
149 |
149 |
$337.60 |
| 99188 |
|
15 |
15 |
$157.95 |
| 90686 |
|
258 |
258 |
$0.01 |
| 90647 |
|
344 |
343 |
$0.00 |
| 90723 |
|
326 |
325 |
$0.00 |
| 90688 |
|
91 |
91 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90716 |
|
36 |
36 |
$0.00 |
| 90651 |
|
42 |
41 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |
| 90707 |
|
36 |
36 |
$0.00 |
| 90670 |
|
515 |
514 |
$0.00 |
| 90633 |
|
180 |
180 |
$0.00 |
| 90715 |
|
39 |
39 |
$0.00 |
| 96160 |
|
1,101 |
1,099 |
$0.00 |
| 90681 |
|
127 |
127 |
$0.00 |
| 90710 |
|
53 |
53 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90648 |
|
17 |
17 |
$0.00 |
| 90671 |
|
61 |
61 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |