| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,628 |
8,950 |
$601K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,090 |
2,083 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,869 |
1,843 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,366 |
1,365 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,290 |
4,256 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
857 |
806 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,041 |
1,006 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
429 |
428 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,961 |
1,578 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
859 |
839 |
$10K |
| 96127 |
|
3,500 |
2,508 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
335 |
327 |
$7K |
| 87428 |
|
229 |
227 |
$7K |
| 83655 |
|
342 |
340 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
282 |
281 |
$3K |
| 99177 |
|
1,217 |
1,215 |
$2K |
| 96161 |
|
752 |
738 |
$1K |
| 90671 |
|
154 |
154 |
$934.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
15 |
$468.00 |
| 81002 |
|
139 |
127 |
$284.29 |
| 85018 |
|
147 |
147 |
$283.20 |
| 90461 |
|
2,565 |
2,557 |
$0.00 |
| 99173 |
|
2,621 |
2,610 |
$0.00 |
| 90670 |
|
1,170 |
1,165 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
348 |
348 |
$0.00 |
| 90648 |
|
694 |
694 |
$0.00 |
| 90633 |
|
374 |
373 |
$0.00 |
| 90661 |
|
108 |
108 |
$0.00 |
| 90734 |
|
59 |
58 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90698 |
|
344 |
344 |
$0.00 |
| 90723 |
|
375 |
375 |
$0.00 |
| 90686 |
|
1,097 |
1,093 |
$0.00 |
| 90680 |
|
621 |
621 |
$0.00 |
| 90716 |
|
317 |
316 |
$0.00 |
| 90744 |
|
142 |
141 |
$0.00 |
| 90674 |
|
159 |
159 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90677 |
|
159 |
159 |
$0.00 |