| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,773 |
4,331 |
$410K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,480 |
1,389 |
$128K |
| 99215 |
Prolong outpt/office vis |
134 |
129 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
126 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
80 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
32 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$900.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
13 |
$676.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
307 |
288 |
$18.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
780 |
726 |
$14.70 |
| 90633 |
|
13 |
12 |
$0.03 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
822 |
760 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,010 |
931 |
$0.00 |
| 92552 |
|
258 |
240 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
970 |
716 |
$0.00 |
| 99173 |
|
262 |
244 |
$0.00 |
| 90670 |
|
80 |
73 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
131 |
$0.00 |
| 85018 |
|
29 |
27 |
$0.00 |
| 87807 |
|
83 |
75 |
$0.00 |
| 90619 |
|
16 |
13 |
$0.00 |
| 90698 |
|
63 |
59 |
$0.00 |
| 87428 |
|
35 |
34 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |