| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,118 |
11,003 |
$746K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,465 |
4,797 |
$445K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,741 |
4,361 |
$423K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,585 |
3,390 |
$296K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,112 |
1,084 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
488 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,769 |
4,477 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,583 |
5,179 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
144 |
$12K |
| 90473 |
|
1,301 |
1,259 |
$10K |
| 99051 |
|
1,231 |
1,156 |
$6K |
| 90686 |
|
760 |
708 |
$4K |
| 90461 |
|
643 |
627 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
80 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
690 |
631 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
941 |
918 |
$2K |
| 99383 |
|
16 |
14 |
$2K |
| 36416 |
|
1,807 |
1,714 |
$2K |
| 90680 |
|
1,895 |
1,820 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$1K |
| 90670 |
|
2,723 |
2,591 |
$1K |
| 85018 |
|
971 |
926 |
$1K |
| 90633 |
|
1,079 |
1,032 |
$764.08 |
| 90698 |
|
1,942 |
1,859 |
$286.15 |
| 81001 |
|
247 |
239 |
$258.28 |
| 90744 |
|
693 |
667 |
$214.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
52 |
$202.05 |
| 90710 |
|
616 |
579 |
$198.79 |
| 90715 |
|
74 |
74 |
$140.58 |
| 90734 |
|
82 |
81 |
$128.89 |
| 90685 |
|
28 |
28 |
$87.86 |
| 90696 |
|
85 |
81 |
$80.51 |
| 90697 |
|
895 |
863 |
$56.91 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$54.00 |
| 90651 |
|
217 |
214 |
$36.98 |
| 81002 |
|
13 |
12 |
$14.34 |
| 84030 |
|
99 |
90 |
$13.50 |
| 99173 |
|
47 |
45 |
$11.26 |
| 90656 |
|
41 |
41 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90677 |
|
19 |
19 |
$0.00 |
| 90688 |
|
43 |
41 |
$0.00 |
| 90671 |
|
454 |
444 |
$0.00 |