| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,562 |
8,084 |
$1.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,003 |
4,774 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,202 |
2,102 |
$470K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,855 |
1,855 |
$351K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,210 |
1,210 |
$176K |
| 96160 |
|
562 |
561 |
$128K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,940 |
1,939 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,448 |
2,443 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
353 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
183 |
$39K |
| 87428 |
|
571 |
553 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
597 |
588 |
$9K |
| 90473 |
|
227 |
227 |
$4K |
| 87807 |
|
262 |
254 |
$3K |
| 0071A |
|
51 |
46 |
$2K |
| 99381 |
|
12 |
12 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
23 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$639.68 |
| 0002A |
|
14 |
14 |
$560.00 |
| 0001A |
|
13 |
13 |
$520.00 |
| 90474 |
|
16 |
16 |
$293.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$216.00 |
| 90633 |
|
96 |
94 |
$0.00 |
| 90670 |
|
704 |
704 |
$0.00 |
| 91300 |
|
31 |
30 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90698 |
|
213 |
213 |
$0.00 |
| 90744 |
|
97 |
97 |
$0.00 |
| 90677 |
|
118 |
118 |
$0.00 |
| 90651 |
|
68 |
66 |
$0.00 |
| 90680 |
|
223 |
223 |
$0.00 |
| 90686 |
|
337 |
337 |
$0.00 |
| 90656 |
|
32 |
32 |
$0.00 |
| 91307 |
|
49 |
44 |
$0.00 |
| 90697 |
|
27 |
27 |
$0.00 |