| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,972 |
2,757 |
$273K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
846 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
633 |
620 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
229 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
141 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
123 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
655 |
625 |
$13K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
129 |
128 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
855 |
828 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
311 |
291 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
33 |
32 |
$4K |
| 92551 |
|
296 |
293 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 99072 |
|
249 |
246 |
$1K |
| 90480 |
|
17 |
17 |
$680.00 |
| 99172 |
|
47 |
47 |
$631.40 |
| 0072A |
|
19 |
19 |
$475.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$421.08 |
| 0071A |
|
14 |
14 |
$350.00 |
| 90686 |
|
656 |
629 |
$39.38 |
| 90656 |
|
44 |
44 |
$18.98 |
| 91307 |
|
33 |
33 |
$0.33 |
| 91321 |
|
13 |
13 |
$0.13 |
| 99177 |
|
317 |
308 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |