| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,714 |
10,910 |
$1.31M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,521 |
3,427 |
$527K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,431 |
3,306 |
$482K |
| 90461 |
|
8,338 |
8,060 |
$317K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,832 |
12,392 |
$315K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,987 |
1,951 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
716 |
676 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
543 |
536 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,476 |
5,493 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
307 |
$20K |
| 99174 |
|
1,648 |
1,604 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
505 |
502 |
$13K |
| 0071A |
|
121 |
120 |
$7K |
| 0072A |
|
74 |
74 |
$5K |
| 99188 |
|
179 |
172 |
$5K |
| 99173 |
|
1,133 |
1,106 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
57 |
$3K |
| 96127 |
|
378 |
374 |
$2K |
| 99243 |
|
17 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
48 |
$2K |
| 90480 |
|
25 |
25 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
25 |
$877.25 |
| 80061 |
Lipid panel |
43 |
41 |
$581.97 |
| 90686 |
|
4,374 |
4,252 |
$19.39 |
| 90670 |
|
2,395 |
2,328 |
$0.00 |
| 90633 |
|
350 |
347 |
$0.00 |
| 90685 |
|
184 |
184 |
$0.00 |
| 91308 |
|
13 |
13 |
$0.00 |
| 90707 |
|
424 |
410 |
$0.00 |
| 90672 |
|
31 |
30 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90647 |
|
1,101 |
1,066 |
$0.00 |
| 90716 |
|
461 |
453 |
$0.00 |
| 90723 |
|
1,118 |
1,085 |
$0.00 |
| 90651 |
|
123 |
121 |
$0.00 |
| 90680 |
|
557 |
534 |
$0.00 |
| 91307 |
|
372 |
349 |
$0.00 |
| 90656 |
|
300 |
299 |
$0.00 |
| 90677 |
|
188 |
183 |
$0.00 |
| 90696 |
|
86 |
86 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
43 |
34 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |