| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,486 |
8,582 |
$582K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
574 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
447 |
411 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
330 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,189 |
1,186 |
$25K |
| 90461 |
|
455 |
454 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
440 |
$8K |
| 87428 |
|
70 |
69 |
$4K |
| 90686 |
|
337 |
335 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
45 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 86710 |
|
77 |
74 |
$1K |
| 90670 |
|
120 |
120 |
$355.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$108.80 |
| 90688 |
|
130 |
130 |
$31.45 |
| 90698 |
|
107 |
107 |
$8.54 |
| 90685 |
|
97 |
97 |
$0.17 |
| 90680 |
|
13 |
13 |
$0.00 |