| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,572 |
15,178 |
$641K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,527 |
3,493 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,595 |
3,570 |
$319K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,667 |
5,349 |
$313K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,751 |
2,726 |
$227K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,081 |
5,688 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,610 |
1,590 |
$129K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,525 |
3,363 |
$86K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,885 |
5,627 |
$73K |
| 92552 |
|
7,106 |
7,024 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,776 |
867 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,220 |
1,176 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,615 |
1,585 |
$12K |
| 90671 |
|
638 |
634 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
306 |
$8K |
| 99381 |
|
91 |
87 |
$7K |
| 90658 |
|
1,339 |
1,322 |
$7K |
| 90461 |
|
1,010 |
807 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
76 |
$5K |
| 92588 |
|
255 |
254 |
$4K |
| 99383 |
|
19 |
19 |
$2K |
| 99384 |
|
16 |
16 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
165 |
161 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90620 |
|
1,004 |
993 |
$600.00 |
| 99000 |
|
49 |
49 |
$475.72 |
| 90716 |
|
733 |
717 |
$180.00 |
| 81003 |
|
101 |
99 |
$166.60 |
| 90651 |
|
455 |
452 |
$110.00 |
| 90707 |
|
720 |
703 |
$110.00 |
| 90715 |
|
530 |
523 |
$96.00 |
| 90670 |
|
1,180 |
1,168 |
$90.00 |
| 90633 |
|
1,101 |
1,082 |
$39.15 |
| 90648 |
|
573 |
570 |
$19.74 |
| 90700 |
|
397 |
393 |
$16.17 |
| 90680 |
|
1,015 |
1,003 |
$0.00 |
| 90657 |
|
211 |
203 |
$0.00 |
| 90696 |
|
292 |
284 |
$0.00 |
| 90698 |
|
173 |
169 |
$0.00 |
| 90697 |
|
509 |
503 |
$0.00 |
| 90723 |
|
258 |
257 |
$0.00 |
| 90744 |
|
30 |
27 |
$0.00 |
| 90649 |
|
687 |
677 |
$0.00 |
| 99173 |
|
6,878 |
6,805 |
$0.00 |
| 90734 |
|
1,147 |
1,126 |
$0.00 |
| 90710 |
|
260 |
258 |
$0.00 |
| 90713 |
|
30 |
30 |
$0.00 |