| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,089 |
3,788 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,885 |
1,806 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
391 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
233 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
314 |
284 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,615 |
1,544 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
587 |
567 |
$9K |
| T1015 |
Clinic visit/encounter, all-inclusive |
68 |
62 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
116 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
84 |
$7K |
| 87428 |
|
115 |
113 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
159 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
56 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
84 |
$807.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$752.70 |
| 99051 |
|
27 |
27 |
$663.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
50 |
$640.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
27 |
$571.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$383.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
24 |
$159.16 |
| 90473 |
|
12 |
12 |
$115.98 |
| 90686 |
|
75 |
72 |
$3.50 |