| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,314 |
3,071 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
685 |
685 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,580 |
1,516 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
560 |
560 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
491 |
484 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
505 |
486 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
348 |
348 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
520 |
497 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
475 |
468 |
$7K |
| 96127 |
|
1,227 |
1,214 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
337 |
337 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
86 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
105 |
$2K |
| 96161 |
|
333 |
315 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$1K |
| 87807 |
|
92 |
90 |
$1K |
| 90662 |
|
18 |
18 |
$625.46 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$94.20 |
| 96380 |
|
16 |
16 |
$24.92 |
| 90677 |
|
234 |
234 |
$0.00 |
| 90647 |
|
253 |
253 |
$0.00 |
| 90656 |
|
98 |
98 |
$0.00 |
| 90686 |
|
209 |
209 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| 90723 |
|
242 |
242 |
$0.00 |
| 90620 |
|
38 |
38 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90658 |
|
122 |
122 |
$0.00 |
| 90633 |
|
128 |
128 |
$0.00 |
| 96160 |
|
549 |
548 |
$0.00 |
| 90710 |
|
60 |
60 |
$0.00 |
| 90734 |
|
74 |
74 |
$0.00 |
| 90681 |
|
31 |
31 |
$0.00 |
| 90671 |
|
115 |
115 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |