| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,178 |
5,760 |
$385K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,922 |
1,782 |
$185K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,674 |
1,457 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,486 |
1,463 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,245 |
1,226 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
924 |
910 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,831 |
1,795 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,109 |
3,041 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
549 |
520 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
800 |
791 |
$13K |
| 90461 |
|
384 |
380 |
$13K |
| 87428 |
|
222 |
217 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
170 |
156 |
$9K |
| 99460 |
|
134 |
124 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
308 |
304 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
144 |
125 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
122 |
$3K |
| 99051 |
|
76 |
74 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
195 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
35 |
$1K |
| 90473 |
|
85 |
84 |
$888.74 |
| 0072A |
|
12 |
12 |
$446.26 |
| 88720 |
|
12 |
12 |
$46.66 |
| 90686 |
|
335 |
325 |
$19.02 |
| 90647 |
|
12 |
12 |
$6.00 |
| 90685 |
|
13 |
13 |
$1.05 |
| 90633 |
|
14 |
14 |
$0.70 |
| 90670 |
|
13 |
13 |
$0.65 |