| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,832 |
3,834 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
593 |
572 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
649 |
610 |
$35K |
| 87428 |
|
986 |
905 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
691 |
411 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
635 |
513 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
549 |
536 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
595 |
576 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,248 |
1,082 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,002 |
432 |
$10K |
| 92587 |
|
355 |
342 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
359 |
229 |
$8K |
| 90461 |
|
285 |
241 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
125 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
79 |
$5K |
| 87807 |
|
571 |
508 |
$4K |
| 90473 |
|
152 |
147 |
$4K |
| 90670 |
|
123 |
111 |
$4K |
| 99177 |
|
597 |
571 |
$2K |
| 99188 |
|
82 |
80 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$1K |
| 99381 |
|
14 |
14 |
$942.96 |
| 90697 |
|
199 |
195 |
$697.05 |
| 96161 |
|
278 |
267 |
$651.70 |
| 83655 |
|
65 |
65 |
$567.76 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$557.16 |
| 96160 |
|
272 |
268 |
$548.84 |
| 90686 |
|
76 |
70 |
$346.81 |
| 96381 |
|
35 |
35 |
$341.98 |
| 90671 |
|
140 |
139 |
$318.20 |
| 85018 |
|
136 |
121 |
$206.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
27 |
$201.42 |
| 90707 |
|
55 |
52 |
$87.31 |
| 90680 |
|
163 |
159 |
$75.20 |
| 90677 |
|
208 |
202 |
$33.86 |
| 90648 |
|
13 |
13 |
$13.92 |
| 90656 |
|
72 |
72 |
$2.23 |
| 90633 |
|
89 |
89 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 90700 |
|
34 |
34 |
$0.00 |
| 3008F |
|
2,034 |
1,773 |
$0.00 |
| 90716 |
|
51 |
49 |
$0.00 |
| 90651 |
|
16 |
15 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |