| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,133 |
15,117 |
$556K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,902 |
6,121 |
$307K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,838 |
2,652 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,806 |
2,617 |
$200K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,432 |
2,186 |
$189K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,587 |
6,852 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,820 |
1,728 |
$127K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,798 |
5,388 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,109 |
5,156 |
$45K |
| 99429 |
|
1,594 |
1,503 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,523 |
3,457 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,628 |
1,387 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
545 |
493 |
$24K |
| 90461 |
|
4,717 |
3,717 |
$20K |
| 83655 |
|
1,323 |
1,304 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,402 |
772 |
$11K |
| 99383 |
|
107 |
104 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,004 |
929 |
$7K |
| 99381 |
|
94 |
89 |
$7K |
| 99382 |
|
74 |
73 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$4K |
| 96160 |
|
3,079 |
2,874 |
$3K |
| 87807 |
|
67 |
66 |
$704.00 |
| 90672 |
|
93 |
93 |
$540.00 |
| 91322 |
|
66 |
66 |
$105.33 |
| 81003 |
|
27 |
24 |
$51.03 |
| 90619 |
|
120 |
120 |
$45.69 |
| 94760 |
|
139 |
118 |
$19.35 |
| 90677 |
|
648 |
598 |
$15.77 |
| 85018 |
|
42 |
42 |
$1.99 |
| 90697 |
|
592 |
572 |
$0.85 |
| 91321 |
|
115 |
115 |
$0.08 |
| 90620 |
|
499 |
485 |
$0.02 |
| 90670 |
|
1,512 |
1,485 |
$0.00 |
| 90710 |
|
855 |
818 |
$0.00 |
| 90633 |
|
1,045 |
1,010 |
$0.00 |
| 90715 |
|
272 |
270 |
$0.00 |
| 90734 |
|
766 |
750 |
$0.00 |
| 90700 |
|
71 |
71 |
$0.00 |
| 90648 |
|
207 |
207 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90680 |
|
781 |
758 |
$0.00 |
| 90686 |
|
5,839 |
5,660 |
$0.00 |
| 90651 |
|
1,140 |
1,125 |
$0.00 |
| 90696 |
|
110 |
109 |
$0.00 |
| 96161 |
|
44 |
25 |
$0.00 |
| 90716 |
|
32 |
32 |
$0.00 |
| 90698 |
|
49 |
49 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |