| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,191 |
1,919 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
380 |
374 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
379 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
227 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
431 |
423 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
163 |
104 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
297 |
291 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
178 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 90461 |
|
63 |
58 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
188 |
184 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
178 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
41 |
$762.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
92 |
$639.64 |
| 87807 |
|
45 |
43 |
$298.47 |
| 90647 |
|
170 |
170 |
$0.00 |
| 90723 |
|
194 |
194 |
$0.00 |
| 90686 |
|
99 |
93 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90670 |
|
202 |
202 |
$0.00 |
| 90633 |
|
82 |
82 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90671 |
|
50 |
49 |
$0.00 |
| 90710 |
|
54 |
51 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |