| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,555 |
3,032 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
960 |
789 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
813 |
706 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
498 |
462 |
$22K |
| 87428 |
|
253 |
221 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,988 |
1,868 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
164 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,847 |
2,736 |
$3K |
| 90686 |
|
892 |
860 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,287 |
1,226 |
$2K |
| 99173 |
|
1,200 |
1,133 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
149 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$881.95 |
| 85018 |
|
1,142 |
1,085 |
$748.34 |
| 92587 |
|
1,005 |
952 |
$667.10 |
| 81000 |
|
730 |
666 |
$466.24 |
| 90473 |
|
133 |
130 |
$459.28 |
| 99188 |
|
311 |
294 |
$450.94 |
| 91307 |
|
12 |
12 |
$440.00 |
| 90474 |
|
136 |
127 |
$414.40 |
| 90672 |
|
188 |
177 |
$405.99 |
| 87430 |
|
45 |
43 |
$405.89 |
| 96127 |
|
238 |
225 |
$299.89 |
| 92567 |
|
40 |
28 |
$292.41 |
| 87807 |
|
57 |
50 |
$244.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$203.71 |
| 87081 |
|
45 |
42 |
$90.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
80 |
$86.28 |
| 90656 |
|
130 |
129 |
$76.11 |
| 90744 |
|
18 |
16 |
$68.80 |
| 83655 |
|
25 |
25 |
$66.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
44 |
$62.68 |
| 96136 |
|
58 |
55 |
$60.00 |
| 96161 |
|
109 |
84 |
$49.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
15 |
$13.81 |
| 90660 |
|
19 |
18 |
$0.08 |
| 90671 |
|
158 |
138 |
$0.01 |
| 90670 |
|
84 |
77 |
$0.01 |
| 92586 |
|
38 |
36 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90633 |
|
43 |
39 |
$0.00 |
| 90680 |
|
144 |
125 |
$0.00 |
| 90698 |
|
238 |
212 |
$0.00 |
| 90677 |
|
31 |
29 |
$0.00 |
| 90651 |
|
29 |
27 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |