| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,020 |
7,558 |
$571K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,538 |
5,001 |
$222K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,151 |
1,943 |
$199K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,715 |
1,504 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,611 |
1,467 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,191 |
1,052 |
$106K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,412 |
2,126 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,241 |
1,139 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
398 |
352 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
85 |
$9K |
| 36416 |
|
2,800 |
2,473 |
$8K |
| 99173 |
|
980 |
870 |
$6K |
| 92551 |
|
1,053 |
930 |
$6K |
| 99442 |
|
166 |
99 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
282 |
125 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
122 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
96 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
40 |
40 |
$650.00 |
| 85018 |
|
2,896 |
2,563 |
$53.32 |
| 90670 |
|
616 |
577 |
$0.01 |
| 90685 |
|
160 |
156 |
$0.01 |
| 90686 |
|
2,481 |
2,296 |
$0.01 |
| 90734 |
|
391 |
336 |
$0.00 |
| 90707 |
|
36 |
36 |
$0.00 |
| 90681 |
|
45 |
43 |
$0.00 |
| 90715 |
|
28 |
26 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90723 |
|
175 |
171 |
$0.00 |
| 90651 |
|
401 |
322 |
$0.00 |
| 90647 |
|
632 |
592 |
$0.00 |
| 90716 |
|
73 |
61 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |