| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,241 |
8,395 |
$520K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,387 |
4,432 |
$413K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,888 |
2,733 |
$245K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,156 |
6,077 |
$193K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,753 |
1,572 |
$75K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,073 |
1,794 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
554 |
508 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,662 |
1,437 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
441 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
755 |
705 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
123 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
460 |
327 |
$5K |
| 90671 |
|
355 |
339 |
$5K |
| 90461 |
|
270 |
243 |
$3K |
| 0072A |
|
60 |
47 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
95 |
81 |
$2K |
| 99381 |
|
17 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
194 |
185 |
$1K |
| 0071A |
|
42 |
37 |
$1K |
| 99188 |
|
108 |
102 |
$1K |
| 54150 |
|
13 |
12 |
$1K |
| 83655 |
|
170 |
159 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
30 |
$671.27 |
| 85018 |
|
329 |
304 |
$410.26 |
| 36416 |
|
97 |
81 |
$299.40 |
| 87280 |
|
35 |
33 |
$130.88 |
| 99177 |
|
13 |
13 |
$109.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$98.16 |
| 90686 |
|
1,505 |
1,366 |
$42.39 |
| 90651 |
|
35 |
31 |
$4.00 |
| 90619 |
|
33 |
33 |
$2.00 |
| 91307 |
|
152 |
103 |
$1.27 |
| 91308 |
|
18 |
15 |
$0.06 |
| 90656 |
|
183 |
163 |
$0.00 |
| 90698 |
|
177 |
166 |
$0.00 |
| 90744 |
|
192 |
179 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 64450 |
|
13 |
12 |
$0.00 |
| 90648 |
|
121 |
111 |
$0.00 |
| 90670 |
|
733 |
669 |
$0.00 |
| 90633 |
|
329 |
305 |
$0.00 |
| 99173 |
|
474 |
442 |
$0.00 |
| 90681 |
|
73 |
71 |
$0.00 |
| 90710 |
|
100 |
93 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 99072 |
|
40 |
29 |
$0.00 |
| 90715 |
|
29 |
25 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |