| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,836 |
2,641 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
771 |
718 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
755 |
742 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
788 |
710 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,796 |
1,752 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
505 |
494 |
$44K |
| 90461 |
|
1,039 |
1,016 |
$35K |
| 92587 |
|
477 |
461 |
$26K |
| 87428 |
|
401 |
392 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
197 |
$20K |
| 99174 |
|
633 |
620 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
384 |
373 |
$16K |
| 87070 |
|
219 |
215 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
277 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
97 |
$3K |
| 83655 |
|
578 |
567 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
52 |
$2K |
| 85018 |
|
711 |
691 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
65 |
$853.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
50 |
$567.40 |
| 87807 |
|
47 |
46 |
$474.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$319.60 |
| 83718 |
|
12 |
12 |
$79.69 |
| 82465 |
|
12 |
12 |
$42.34 |
| 90686 |
|
59 |
55 |
$29.00 |