| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,459 |
5,778 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,143 |
3,760 |
$339K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,252 |
3,069 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,532 |
5,201 |
$239K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
1,892 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
308 |
$21K |
| 90670 |
|
2,354 |
2,218 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,510 |
1,435 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
304 |
292 |
$15K |
| 99381 |
|
157 |
148 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
441 |
$8K |
| 90480 |
|
132 |
123 |
$7K |
| 90680 |
|
1,570 |
1,472 |
$7K |
| 90723 |
|
1,768 |
1,665 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
55 |
$5K |
| 90461 |
|
3,698 |
3,474 |
$5K |
| 83655 |
|
428 |
403 |
$5K |
| 87634 |
|
49 |
44 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
83 |
78 |
$3K |
| 90686 |
|
1,929 |
1,756 |
$3K |
| 90677 |
|
349 |
335 |
$3K |
| 90648 |
|
2,601 |
2,454 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 90633 |
|
535 |
513 |
$1K |
| 91318 |
|
79 |
70 |
$994.00 |
| 0082A |
|
15 |
15 |
$926.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$654.28 |
| 90716 |
|
76 |
71 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$595.64 |
| 90710 |
|
16 |
15 |
$500.00 |
| 90656 |
|
290 |
290 |
$458.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$443.56 |
| 90707 |
|
74 |
69 |
$360.00 |
| 96380 |
|
12 |
12 |
$228.25 |
| 87807 |
|
15 |
14 |
$184.71 |
| 90700 |
|
53 |
49 |
$162.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$144.76 |
| 90696 |
|
16 |
15 |
$141.32 |
| 88720 |
|
40 |
38 |
$130.52 |
| 85018 |
|
54 |
51 |
$124.17 |
| 36416 |
|
544 |
468 |
$31.20 |
| 96160 |
|
184 |
181 |
$12.47 |
| 96161 |
|
26 |
26 |
$8.82 |
| 90381 |
|
28 |
28 |
$0.00 |