| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,397 |
3,230 |
$270K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,419 |
3,211 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,015 |
6,252 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,001 |
2,629 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,125 |
3,639 |
$194K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,922 |
1,836 |
$166K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,073 |
6,307 |
$141K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,764 |
3,145 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,701 |
2,568 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,471 |
4,056 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,247 |
1,884 |
$18K |
| 90461 |
|
4,290 |
3,390 |
$17K |
| 99215 |
Prolong outpt/office vis |
62 |
59 |
$5K |
| 83655 |
|
494 |
475 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
83 |
$3K |
| 99381 |
|
41 |
38 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
174 |
$2K |
| 99050 |
|
128 |
118 |
$2K |
| 90671 |
|
591 |
565 |
$2K |
| 85018 |
|
654 |
637 |
$904.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
55 |
$895.37 |
| 81003 |
|
86 |
79 |
$148.22 |
| 96161 |
|
29 |
26 |
$26.15 |
| 90697 |
|
509 |
472 |
$2.89 |
| 90670 |
|
1,443 |
1,309 |
$0.00 |
| 90633 |
|
1,046 |
969 |
$0.00 |
| 90715 |
|
142 |
140 |
$0.00 |
| 90734 |
|
549 |
527 |
$0.00 |
| 90756 |
|
48 |
47 |
$0.00 |
| 90700 |
|
302 |
279 |
$0.00 |
| 90710 |
|
917 |
847 |
$0.00 |
| 90658 |
|
148 |
147 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |
| 90651 |
|
636 |
594 |
$0.00 |
| 90723 |
|
849 |
770 |
$0.00 |
| 90686 |
|
1,794 |
1,577 |
$0.00 |
| 90696 |
|
363 |
333 |
$0.00 |
| 90680 |
|
1,208 |
1,094 |
$0.00 |
| 90647 |
|
969 |
887 |
$0.00 |
| 90688 |
|
298 |
290 |
$0.00 |
| 90716 |
|
14 |
12 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |