| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,773 |
4,347 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,478 |
1,391 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,316 |
1,285 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
993 |
974 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
851 |
790 |
$77K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,907 |
1,781 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,249 |
3,073 |
$59K |
| 96160 |
|
3,183 |
3,016 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
398 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,883 |
1,790 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,792 |
1,702 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,110 |
2,050 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,168 |
2,993 |
$31K |
| 92552 |
|
2,524 |
2,380 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,262 |
1,085 |
$24K |
| 99177 |
|
1,318 |
1,299 |
$23K |
| 99173 |
|
1,797 |
1,672 |
$11K |
| 83655 |
|
1,027 |
1,000 |
$10K |
| 36416 |
|
3,529 |
3,361 |
$10K |
| 96161 |
|
472 |
434 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
326 |
$6K |
| 94760 |
|
3,030 |
2,763 |
$4K |
| 99383 |
|
90 |
46 |
$4K |
| 90480 |
|
106 |
95 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
44 |
$4K |
| 87807 |
|
334 |
317 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$2K |
| 99384 |
|
52 |
27 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
38 |
$2K |
| 99382 |
|
30 |
21 |
$2K |
| 87280 |
|
153 |
147 |
$1K |
| 0124A |
|
15 |
15 |
$600.00 |
| 0081A |
|
17 |
14 |
$560.00 |
| 90686 |
|
2,063 |
1,999 |
$559.05 |
| 0154A |
|
13 |
13 |
$520.00 |
| 99188 |
|
19 |
19 |
$342.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$184.80 |
| 85018 |
|
3,432 |
3,272 |
$46.69 |
| 90656 |
|
306 |
218 |
$44.70 |
| 81002 |
|
2,659 |
2,468 |
$24.20 |
| 90670 |
|
399 |
398 |
$0.00 |
| 90672 |
|
73 |
73 |
$0.00 |
| 91308 |
|
85 |
76 |
$0.00 |
| 90633 |
|
110 |
108 |
$0.00 |
| 90734 |
|
15 |
12 |
$0.00 |
| 90671 |
|
40 |
40 |
$0.00 |
| 91321 |
|
31 |
28 |
$0.00 |
| 90685 |
|
39 |
33 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |
| 90698 |
|
225 |
224 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 91307 |
|
28 |
27 |
$0.00 |
| 90651 |
|
51 |
50 |
$0.00 |
| 91305 |
|
29 |
15 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 91319 |
|
17 |
16 |
$0.00 |
| 90660 |
|
59 |
54 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |