| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,155 |
9,132 |
$886K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,009 |
1,649 |
$150K |
| 99215 |
Prolong outpt/office vis |
1,479 |
1,325 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,272 |
1,084 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
910 |
814 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
601 |
438 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
554 |
405 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
152 |
$7K |
| 99381 |
|
25 |
24 |
$2K |
| 99050 |
|
28 |
28 |
$343.50 |
| 85018 |
|
694 |
544 |
$99.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,524 |
2,912 |
$4.99 |
| 90677 |
|
224 |
190 |
$0.71 |
| 90680 |
|
476 |
400 |
$0.38 |
| 90633 |
|
562 |
454 |
$0.25 |
| 96161 |
|
793 |
651 |
$0.00 |
| 90651 |
|
275 |
202 |
$0.00 |
| 90696 |
|
100 |
79 |
$0.00 |
| 90698 |
|
393 |
348 |
$0.00 |
| 96127 |
|
598 |
434 |
$0.00 |
| 90686 |
|
120 |
106 |
$0.00 |
| 87807 |
|
755 |
597 |
$0.00 |
| 90619 |
|
159 |
105 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
807 |
650 |
$0.00 |
| 90474 |
|
472 |
398 |
$0.00 |
| 90744 |
|
132 |
121 |
$0.00 |
| 87428 |
|
111 |
108 |
$0.00 |
| 90697 |
|
157 |
118 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
32 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,236 |
1,651 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,408 |
2,012 |
$0.00 |
| 90710 |
|
101 |
80 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,881 |
2,220 |
$0.00 |
| 99173 |
|
1,715 |
1,289 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,742 |
2,061 |
$0.00 |
| 92552 |
|
1,395 |
1,028 |
$0.00 |
| 90700 |
|
50 |
38 |
$0.00 |
| 90670 |
|
831 |
698 |
$0.00 |
| 90707 |
|
52 |
41 |
$0.00 |
| 90715 |
|
168 |
135 |
$0.00 |
| 81002 |
|
48 |
26 |
$0.00 |
| 90734 |
|
51 |
48 |
$0.00 |
| 90648 |
|
17 |
12 |
$0.00 |