| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,910 |
11,017 |
$723K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,900 |
1,878 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,728 |
1,721 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,224 |
2,888 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
1,061 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,209 |
4,150 |
$78K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,401 |
1,158 |
$35K |
| S8301 |
Infection control supplies, not otherwise specified |
2,460 |
2,200 |
$35K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
806 |
787 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
440 |
425 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,833 |
1,773 |
$27K |
| 90461 |
|
1,069 |
894 |
$7K |
| 97802 |
|
1,417 |
1,415 |
$6K |
| 87430 |
|
319 |
318 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
307 |
201 |
$3K |
| 97169 |
|
127 |
127 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
238 |
193 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
69 |
$547.76 |
| 90661 |
|
209 |
209 |
$208.00 |
| 92551 |
|
1,766 |
1,754 |
$187.58 |
| 90686 |
|
1,653 |
1,644 |
$58.00 |
| 90674 |
|
58 |
58 |
$57.00 |
| 90620 |
|
405 |
403 |
$19.00 |
| 90734 |
|
235 |
235 |
$6.00 |
| 90619 |
|
167 |
167 |
$5.00 |
| 90677 |
|
27 |
27 |
$5.00 |
| 90651 |
|
253 |
252 |
$2.00 |
| 90670 |
|
292 |
286 |
$0.00 |
| 99173 |
|
3,634 |
3,616 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
37 |
36 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90680 |
|
53 |
51 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |