| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,123 |
2,406 |
$173K |
| 87428 |
|
459 |
437 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
271 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
242 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,271 |
1,239 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
131 |
$12K |
| 99000 |
|
918 |
808 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
94 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
823 |
604 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
321 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
402 |
192 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
48 |
$2K |
| 90480 |
|
56 |
41 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$761.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$352.37 |
| 90461 |
|
27 |
27 |
$275.62 |
| 90686 |
|
737 |
722 |
$0.04 |
| 90698 |
|
40 |
40 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| 90697 |
|
19 |
15 |
$0.00 |
| 90670 |
|
159 |
151 |
$0.00 |
| 91308 |
|
30 |
30 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |