| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,846 |
5,645 |
$408K |
| 99199 |
Unlisted special service, procedure or report |
63,047 |
29,397 |
$313K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,144 |
1,866 |
$186K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,767 |
1,397 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
777 |
668 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,070 |
2,651 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,664 |
1,433 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
174 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
272 |
252 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,007 |
1,754 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
486 |
418 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
337 |
292 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
243 |
224 |
$9K |
| 90474 |
|
374 |
313 |
$7K |
| 99401 |
|
243 |
179 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
58 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
33 |
$2K |
| 96127 |
|
390 |
355 |
$1K |
| 83655 |
|
46 |
38 |
$656.93 |
| 90670 |
|
705 |
569 |
$652.98 |
| 87634 |
|
14 |
13 |
$362.88 |
| 99173 |
|
1,505 |
1,279 |
$320.94 |
| 81002 |
|
223 |
182 |
$229.29 |
| 90656 |
|
44 |
43 |
$204.30 |
| 90680 |
|
376 |
318 |
$184.88 |
| 90686 |
|
578 |
491 |
$170.07 |
| 92551 |
|
215 |
189 |
$84.08 |
| 85018 |
|
43 |
38 |
$20.53 |
| 90677 |
|
173 |
168 |
$0.00 |
| 90698 |
|
240 |
213 |
$0.00 |
| 90697 |
|
94 |
83 |
$0.00 |
| 90744 |
|
33 |
28 |
$0.00 |
| 90685 |
|
20 |
20 |
$0.00 |
| 90707 |
|
16 |
14 |
$0.00 |