| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,955 |
6,928 |
$482K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,960 |
2,722 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,708 |
1,623 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,638 |
1,479 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
850 |
772 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
351 |
290 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,855 |
3,567 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,110 |
1,959 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,553 |
2,333 |
$3K |
| 36416 |
|
330 |
311 |
$3K |
| 90686 |
|
1,135 |
1,082 |
$2K |
| 90670 |
|
1,290 |
1,161 |
$2K |
| 99381 |
|
52 |
50 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 90461 |
|
110 |
100 |
$856.22 |
| 87430 |
|
66 |
63 |
$763.75 |
| 87807 |
|
160 |
138 |
$647.45 |
| 90674 |
|
110 |
106 |
$436.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
175 |
$428.12 |
| 90633 |
|
519 |
488 |
$422.32 |
| 90744 |
|
459 |
401 |
$370.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
553 |
254 |
$313.36 |
| 90651 |
|
144 |
140 |
$312.17 |
| 90698 |
|
1,318 |
1,179 |
$203.43 |
| 83655 |
|
107 |
101 |
$169.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
132 |
$165.53 |
| 90680 |
|
708 |
628 |
$128.63 |
| 96127 |
|
75 |
71 |
$76.89 |
| 85018 |
|
91 |
86 |
$23.31 |
| 90710 |
|
395 |
360 |
$0.05 |
| 90696 |
|
63 |
60 |
$0.02 |
| 90697 |
|
109 |
107 |
$0.02 |
| 90671 |
|
162 |
149 |
$0.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
125 |
$0.00 |
| 90474 |
|
44 |
44 |
$0.00 |
| 90734 |
|
94 |
91 |
$0.00 |
| 90715 |
|
81 |
78 |
$0.00 |
| 90473 |
|
214 |
180 |
$0.00 |
| 99173 |
|
125 |
125 |
$0.00 |