| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,813 |
1,639 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
180 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
144 |
$4K |
| 90686 |
|
407 |
395 |
$2K |
| 99215 |
Prolong outpt/office vis |
23 |
18 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
146 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
14 |
$2K |
| 99051 |
|
143 |
134 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
328 |
$793.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
651 |
619 |
$737.98 |
| 90461 |
|
359 |
339 |
$403.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
259 |
252 |
$372.38 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$310.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$309.30 |
| 90670 |
|
13 |
12 |
$184.81 |
| 90698 |
|
137 |
126 |
$106.19 |
| 90473 |
|
14 |
14 |
$84.60 |
| 83655 |
|
27 |
26 |
$49.50 |
| 90656 |
|
64 |
61 |
$44.83 |
| 87081 |
|
13 |
12 |
$35.80 |
| 92551 |
|
28 |
28 |
$16.74 |
| 36416 |
|
46 |
46 |
$3.19 |
| 90660 |
|
20 |
20 |
$0.08 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 99173 |
|
288 |
275 |
$0.00 |
| 90671 |
|
80 |
73 |
$0.00 |
| 96160 |
|
24 |
24 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |