| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,471 |
2,054 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
414 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
306 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
557 |
440 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
183 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
654 |
623 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,121 |
1,083 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
72 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
57 |
$760.92 |
| 90473 |
|
57 |
55 |
$581.22 |
| 99177 |
|
129 |
129 |
$562.15 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
20 |
20 |
$469.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$303.60 |
| 90686 |
|
12 |
12 |
$0.60 |