| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,413 |
3,008 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,415 |
1,398 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,078 |
1,058 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
708 |
675 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,949 |
1,815 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
348 |
337 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,525 |
2,460 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
973 |
953 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
362 |
347 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
518 |
477 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,571 |
1,549 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
697 |
663 |
$9K |
| 99429 |
|
263 |
261 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
187 |
183 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 90473 |
|
97 |
93 |
$729.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
111 |
$484.77 |
| 94760 |
|
175 |
172 |
$1.96 |
| 90658 |
|
243 |
239 |
$0.01 |
| 90670 |
|
1,160 |
1,140 |
$0.00 |
| 90633 |
|
306 |
304 |
$0.00 |
| 90707 |
|
251 |
247 |
$0.00 |
| 90698 |
|
827 |
810 |
$0.00 |
| 90680 |
|
772 |
757 |
$0.00 |
| 90716 |
|
219 |
215 |
$0.00 |
| 90744 |
|
360 |
349 |
$0.00 |
| 96161 |
|
992 |
969 |
$0.00 |
| 90657 |
|
150 |
148 |
$0.00 |