| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,101 |
2,834 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,073 |
896 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
830 |
804 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
411 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
546 |
529 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
288 |
271 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,412 |
1,354 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,909 |
1,828 |
$15K |
| 87428 |
|
271 |
263 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
342 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
353 |
336 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
337 |
315 |
$3K |
| 99051 |
|
51 |
51 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
53 |
$1K |
| 90473 |
|
77 |
77 |
$771.66 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
20 |
$655.62 |
| 99177 |
|
26 |
26 |
$71.06 |
| 92551 |
|
12 |
12 |
$48.96 |
| 90686 |
|
132 |
122 |
$6.15 |