| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,985 |
6,757 |
$806K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,011 |
3,746 |
$596K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,467 |
3,467 |
$561K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,476 |
2,417 |
$382K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,024 |
5,014 |
$173K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,980 |
7,953 |
$119K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,450 |
6,411 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
415 |
415 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
153 |
$20K |
| 90473 |
|
806 |
806 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
129 |
$12K |
| 90474 |
|
230 |
230 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$4K |
| 96127 |
|
586 |
586 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
67 |
67 |
$3K |
| 99188 |
|
147 |
147 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
61 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
74 |
$1K |
| 0081A |
|
17 |
17 |
$680.00 |
| 87807 |
|
34 |
34 |
$396.10 |
| 90686 |
|
2,165 |
2,161 |
$203.75 |
| 88720 |
|
23 |
14 |
$102.81 |
| 99173 |
|
12 |
12 |
$33.00 |
| 90633 |
|
469 |
469 |
$0.02 |
| 90670 |
|
1,787 |
1,786 |
$0.00 |
| 90710 |
|
79 |
79 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90723 |
|
1,313 |
1,313 |
$0.00 |
| 90680 |
|
1,096 |
1,096 |
$0.00 |
| 90647 |
|
412 |
412 |
$0.00 |
| 90677 |
|
388 |
387 |
$0.00 |
| 90656 |
|
110 |
110 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |