| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,633 |
11,811 |
$861K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,367 |
2,319 |
$249K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,760 |
4,757 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
873 |
873 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
930 |
929 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
292 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
317 |
313 |
$16K |
| 99460 |
|
136 |
136 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
148 |
148 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
83 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
420 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
172 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
223 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
367 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
126 |
$1K |
| 87807 |
|
12 |
12 |
$139.80 |
| 90688 |
|
150 |
149 |
$3.00 |
| 90674 |
|
272 |
272 |
$1.00 |
| 90670 |
|
515 |
515 |
$0.00 |
| 90671 |
|
110 |
110 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90681 |
|
54 |
54 |
$0.00 |
| 90686 |
|
71 |
71 |
$0.00 |
| 90697 |
|
158 |
158 |
$0.00 |