| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,410 |
5,932 |
$197K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,618 |
4,546 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,739 |
1,724 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,200 |
4,991 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,497 |
1,474 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,456 |
1,366 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,017 |
1,009 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
379 |
378 |
$18K |
| 90461 |
|
887 |
843 |
$12K |
| 90686 |
|
1,161 |
1,140 |
$11K |
| 90619 |
|
62 |
59 |
$8K |
| 96127 |
|
1,669 |
1,653 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
200 |
$3K |
| 99173 |
|
2,774 |
2,696 |
$2K |
| 90734 |
|
114 |
106 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$1K |
| 86580 |
|
365 |
355 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
28 |
$1K |
| 99051 |
|
1,100 |
1,051 |
$1K |
| 90649 |
|
16 |
16 |
$1K |
| 97802 |
|
3,896 |
3,817 |
$794.11 |
| 90651 |
|
74 |
73 |
$717.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$435.94 |
| 87070 |
|
48 |
46 |
$418.50 |
| 94760 |
|
8,590 |
7,954 |
$321.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
58 |
$37.80 |
| 99058 |
|
25 |
25 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$0.00 |