| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,641 |
2,122 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,206 |
969 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,486 |
1,353 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
652 |
584 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
500 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,275 |
1,173 |
$23K |
| 99460 |
|
140 |
123 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
125 |
104 |
$5K |
| 90461 |
|
1,052 |
947 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
124 |
108 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
229 |
160 |
$3K |
| 96160 |
|
668 |
565 |
$3K |
| 99383 |
|
55 |
38 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
195 |
$3K |
| 99177 |
|
516 |
451 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
44 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$2K |
| 90671 |
|
820 |
679 |
$2K |
| 87400 |
|
205 |
108 |
$2K |
| 99462 |
|
54 |
40 |
$1K |
| 90697 |
|
560 |
429 |
$1K |
| V5008 |
Hearing screening |
71 |
53 |
$989.99 |
| 99382 |
|
15 |
12 |
$827.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$810.98 |
| 81003 |
|
448 |
413 |
$738.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
74 |
$733.53 |
| 90681 |
|
249 |
185 |
$636.34 |
| 87428 |
|
13 |
12 |
$576.80 |
| 90474 |
|
95 |
61 |
$545.46 |
| 92558 |
|
107 |
95 |
$374.30 |
| 36416 |
|
244 |
225 |
$321.60 |
| 85018 |
|
116 |
109 |
$221.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
16 |
$179.14 |
| 87807 |
|
16 |
12 |
$123.75 |
| 90723 |
|
34 |
30 |
$92.66 |
| 90633 |
|
163 |
157 |
$89.89 |
| 90648 |
|
56 |
49 |
$50.44 |
| 90688 |
|
128 |
113 |
$0.01 |
| 90670 |
|
124 |
95 |
$0.00 |
| 90707 |
|
31 |
27 |
$0.00 |
| 90473 |
|
25 |
20 |
$0.00 |
| 90716 |
|
33 |
28 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |