| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,471 |
5,960 |
$658K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,595 |
1,462 |
$241K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,315 |
6,096 |
$150K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,282 |
2,206 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
521 |
511 |
$80K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
398 |
383 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
198 |
179 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
149 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
334 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
107 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
107 |
$3K |
| 0071A |
|
49 |
33 |
$2K |
| 0072A |
|
27 |
27 |
$2K |
| 0002A |
|
20 |
20 |
$2K |
| 99177 |
|
59 |
58 |
$594.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
36 |
$514.03 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$409.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$246.60 |
| 96127 |
|
14 |
14 |
$84.11 |
| 99072 |
|
97 |
88 |
$0.00 |
| 99051 |
|
15 |
12 |
$0.00 |
| 0001A |
|
53 |
25 |
$0.00 |
| 36416 |
|
81 |
77 |
$0.00 |