| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,879 |
6,093 |
$332K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,396 |
1,303 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,345 |
2,134 |
$96K |
| 87428 |
|
1,456 |
1,327 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,193 |
1,051 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
609 |
568 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,392 |
2,175 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,623 |
2,170 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
180 |
152 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
167 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,362 |
614 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
286 |
$9K |
| 96127 |
|
1,009 |
814 |
$4K |
| 92587 |
|
473 |
421 |
$4K |
| 99050 |
|
259 |
239 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
83 |
$3K |
| 99177 |
|
908 |
813 |
$3K |
| 87807 |
|
360 |
328 |
$2K |
| 96160 |
|
865 |
715 |
$2K |
| 90461 |
|
1,233 |
1,117 |
$1K |
| 90670 |
|
410 |
397 |
$665.10 |
| 3008F |
|
201 |
193 |
$460.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
21 |
$420.12 |
| 87420 |
|
53 |
46 |
$383.28 |
| 90710 |
|
46 |
39 |
$236.03 |
| 83655 |
|
29 |
26 |
$215.24 |
| 90698 |
|
351 |
335 |
$213.58 |
| 90688 |
|
389 |
351 |
$184.12 |
| 90680 |
|
126 |
126 |
$87.88 |
| 85018 |
|
36 |
30 |
$52.86 |
| 81003 |
|
14 |
14 |
$17.75 |
| 36416 |
|
376 |
337 |
$2.21 |
| 90744 |
|
16 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90687 |
|
26 |
25 |
$0.00 |
| 90658 |
|
15 |
14 |
$0.00 |