| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,481 |
8,272 |
$428K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,841 |
3,516 |
$262K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,877 |
1,805 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,610 |
1,554 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,653 |
1,586 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,242 |
1,212 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,295 |
3,136 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,566 |
4,374 |
$61K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
781 |
322 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,599 |
2,495 |
$39K |
| 92551 |
|
2,436 |
2,359 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
419 |
346 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
738 |
345 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
595 |
554 |
$7K |
| 99460 |
|
144 |
136 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
775 |
699 |
$6K |
| 54150 |
|
28 |
28 |
$4K |
| 99173 |
|
2,257 |
2,184 |
$3K |
| 90474 |
|
371 |
348 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
56 |
$3K |
| 85018 |
|
1,237 |
1,148 |
$3K |
| 99462 |
|
91 |
70 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
75 |
$1K |
| 99188 |
|
27 |
25 |
$481.00 |
| 0072A |
|
13 |
13 |
$277.08 |
| 99499 |
|
255 |
237 |
$165.25 |
| 90710 |
|
243 |
236 |
$0.00 |
| 90670 |
|
1,316 |
1,252 |
$0.00 |
| 90681 |
|
298 |
285 |
$0.00 |
| 90633 |
|
518 |
500 |
$0.00 |
| 90648 |
|
1,315 |
1,251 |
$0.00 |
| 90734 |
|
196 |
189 |
$0.00 |
| 90649 |
|
140 |
132 |
$0.00 |
| 90685 |
|
235 |
231 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90686 |
|
1,345 |
1,285 |
$0.00 |
| 90723 |
|
977 |
931 |
$0.00 |
| 90620 |
|
42 |
42 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 91307 |
|
19 |
13 |
$0.00 |