| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,478 |
5,999 |
$496K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,595 |
1,521 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
944 |
940 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
748 |
718 |
$65K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
859 |
842 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,040 |
2,026 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,124 |
1,121 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,863 |
2,748 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
236 |
233 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
549 |
544 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
422 |
412 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$4K |
| 96127 |
|
701 |
690 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
144 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
52 |
$1K |
| 0071A |
|
27 |
27 |
$945.00 |
| 96161 |
|
145 |
128 |
$725.00 |
| 87807 |
|
56 |
53 |
$652.40 |
| 83655 |
|
51 |
51 |
$549.27 |
| 99188 |
|
15 |
15 |
$169.20 |
| 85018 |
|
50 |
50 |
$105.50 |
| 99173 |
|
28 |
28 |
$59.74 |
| 96160 |
|
522 |
522 |
$0.00 |
| 90670 |
|
398 |
398 |
$0.00 |
| 90633 |
|
122 |
122 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |
| 90671 |
|
57 |
57 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90697 |
|
69 |
69 |
$0.00 |
| 90723 |
|
81 |
81 |
$0.00 |
| 90674 |
|
185 |
185 |
$0.00 |
| 90686 |
|
282 |
281 |
$0.00 |
| 90647 |
|
66 |
66 |
$0.00 |
| 91307 |
|
38 |
34 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |