| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,138 |
2,772 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,062 |
1,045 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
754 |
700 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
507 |
493 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
247 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,255 |
1,220 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,873 |
1,787 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
832 |
796 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
381 |
346 |
$16K |
| 90461 |
|
260 |
252 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
99 |
$8K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
14 |
14 |
$7K |
| 87428 |
|
111 |
107 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
52 |
$3K |
| 99460 |
|
63 |
59 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
229 |
226 |
$3K |
| 99051 |
|
75 |
67 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
39 |
$1K |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$893.44 |
| 96127 |
|
246 |
228 |
$825.31 |
| 1036F |
|
86 |
57 |
$535.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
26 |
$460.50 |
| 90473 |
|
36 |
36 |
$402.60 |
| 99173 |
|
184 |
171 |
$395.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$129.41 |
| 90686 |
|
186 |
182 |
$38.35 |
| 90685 |
|
18 |
15 |
$9.00 |
| 90656 |
|
30 |
30 |
$0.30 |