| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,354 |
11,497 |
$838K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,279 |
5,842 |
$619K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,592 |
3,512 |
$442K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,553 |
3,166 |
$372K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,844 |
1,814 |
$197K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,869 |
8,693 |
$161K |
| 90461 |
|
3,813 |
3,464 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
510 |
505 |
$61K |
| 99188 |
|
2,033 |
1,950 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
567 |
486 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
329 |
325 |
$6K |
| 90698 |
|
1,112 |
1,077 |
$5K |
| 90686 |
|
1,808 |
1,699 |
$3K |
| 96127 |
|
1,041 |
622 |
$1K |
| 90670 |
|
1,041 |
995 |
$992.82 |
| 99050 |
|
35 |
34 |
$699.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
826 |
635 |
$436.21 |
| 96160 |
|
669 |
579 |
$404.33 |
| 36415 |
Collection of venous blood by venipuncture |
144 |
131 |
$215.00 |
| 83655 |
|
37 |
37 |
$117.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
48 |
$55.74 |
| 92551 |
|
5,898 |
5,425 |
$24.55 |
| 96161 |
|
40 |
36 |
$15.30 |
| 99173 |
|
6,604 |
6,060 |
$6.23 |
| 90734 |
|
58 |
57 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90633 |
|
167 |
157 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 91311 |
|
36 |
13 |
$0.00 |
| 90744 |
|
130 |
126 |
$0.00 |
| 90680 |
|
139 |
139 |
$0.00 |
| 90677 |
|
29 |
28 |
$0.00 |
| 90651 |
|
70 |
68 |
$0.00 |