| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,303 |
24,763 |
$2.03M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,470 |
12,263 |
$483K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,834 |
3,804 |
$411K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,473 |
3,435 |
$406K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,432 |
2,411 |
$263K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,829 |
1,791 |
$183K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,784 |
2,641 |
$122K |
| 96127 |
|
4,671 |
4,581 |
$82K |
| 99173 |
|
9,028 |
8,897 |
$67K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,523 |
2,605 |
$62K |
| 92551 |
|
9,214 |
9,084 |
$58K |
| 36416 |
|
11,923 |
11,757 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,435 |
3,221 |
$38K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
772 |
741 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,457 |
1,448 |
$26K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
992 |
983 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
143 |
141 |
$17K |
| 90651 |
|
861 |
851 |
$11K |
| 99174 |
|
333 |
330 |
$7K |
| 90620 |
|
151 |
149 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
41 |
$5K |
| 90686 |
|
6,678 |
6,605 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$2K |
| 90734 |
|
639 |
631 |
$486.36 |
| 90715 |
|
195 |
193 |
$305.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$289.08 |
| 90619 |
|
195 |
195 |
$150.00 |
| 90716 |
|
222 |
219 |
$120.00 |
| 90707 |
|
222 |
221 |
$42.53 |
| 81002 |
|
57 |
55 |
$2.44 |
| 90671 |
|
70 |
70 |
$0.06 |
| 90670 |
|
1,430 |
1,410 |
$0.01 |
| 90744 |
|
191 |
191 |
$0.00 |
| 90698 |
|
665 |
659 |
$0.00 |
| 90697 |
|
201 |
198 |
$0.00 |
| 90680 |
|
483 |
478 |
$0.00 |
| 85018 |
|
91 |
88 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 90633 |
|
299 |
295 |
$0.00 |
| 99080 |
|
130 |
124 |
$0.00 |
| 90685 |
|
97 |
94 |
$0.00 |
| 90648 |
|
27 |
25 |
$0.00 |