| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,810 |
3,438 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,382 |
2,278 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,092 |
982 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,049 |
997 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
586 |
565 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
463 |
427 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
631 |
573 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
198 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
972 |
892 |
$13K |
| 85018 |
|
2,346 |
2,148 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
330 |
224 |
$6K |
| 96127 |
|
1,413 |
1,029 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
114 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
243 |
192 |
$2K |
| 96161 |
|
171 |
166 |
$587.88 |
| 99050 |
|
39 |
31 |
$420.00 |
| 90670 |
|
288 |
284 |
$300.00 |
| 90651 |
|
13 |
12 |
$250.00 |
| 99173 |
|
798 |
666 |
$223.39 |
| 92551 |
|
714 |
594 |
$120.88 |
| 90686 |
|
298 |
276 |
$39.96 |
| 36416 |
|
2,100 |
1,906 |
$25.75 |
| 92552 |
|
48 |
48 |
$11.58 |
| 90647 |
|
112 |
111 |
$0.00 |
| 90723 |
|
81 |
81 |
$0.00 |
| 90680 |
|
39 |
39 |
$0.00 |
| 90688 |
|
97 |
94 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
550 |
497 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
502 |
437 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
111 |
106 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |