| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,267 |
2,874 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,237 |
2,051 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
467 |
441 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,783 |
1,610 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
265 |
251 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
253 |
241 |
$23K |
| 90461 |
|
654 |
598 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
951 |
496 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
110 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
93 |
92 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
196 |
189 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
319 |
310 |
$3K |
| 99050 |
|
55 |
54 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
174 |
122 |
$2K |
| 87807 |
|
128 |
123 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
91 |
$972.69 |
| 87070 |
|
52 |
47 |
$649.50 |
| 96160 |
|
161 |
154 |
$575.26 |
| 96127 |
|
154 |
145 |
$469.04 |
| 96161 |
|
113 |
104 |
$396.83 |
| 86756 |
|
14 |
14 |
$142.44 |
| 99000 |
|
41 |
40 |
$120.95 |
| 90686 |
|
138 |
132 |
$65.00 |
| 90672 |
|
52 |
52 |
$24.00 |