| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,390 |
7,095 |
$479K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,346 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,574 |
1,482 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,396 |
1,294 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,383 |
5,031 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,476 |
4,171 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
800 |
753 |
$61K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
566 |
512 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,388 |
2,237 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
816 |
756 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
367 |
$35K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
852 |
803 |
$30K |
| 87634 |
|
258 |
239 |
$17K |
| 90686 |
|
1,610 |
1,509 |
$9K |
| 90474 |
|
540 |
509 |
$9K |
| 90670 |
|
1,097 |
1,014 |
$7K |
| 90698 |
|
666 |
609 |
$6K |
| 90680 |
|
531 |
501 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
131 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
92 |
$5K |
| 90744 |
|
311 |
291 |
$3K |
| 90633 |
|
283 |
267 |
$2K |
| 87807 |
|
41 |
33 |
$2K |
| 90734 |
|
52 |
51 |
$722.93 |
| 90651 |
|
68 |
68 |
$642.03 |
| 90648 |
|
12 |
12 |
$424.46 |
| 90685 |
|
16 |
15 |
$345.94 |
| 90710 |
|
17 |
17 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90619 |
|
20 |
20 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |