| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,864 |
4,141 |
$357K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
746 |
683 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
629 |
528 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
632 |
589 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
250 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,024 |
1,641 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,574 |
960 |
$22K |
| 99407 |
|
497 |
396 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
588 |
542 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
49 |
$6K |
| 96127 |
|
979 |
797 |
$5K |
| 81002 |
|
1,556 |
1,365 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
117 |
115 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
234 |
115 |
$4K |
| 99381 |
|
14 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
95 |
$1K |
| 94760 |
|
15 |
15 |
$25.52 |
| 90696 |
|
133 |
131 |
$0.00 |
| 90619 |
|
192 |
145 |
$0.00 |
| 90697 |
|
63 |
41 |
$0.00 |
| 90620 |
|
136 |
107 |
$0.00 |
| 90688 |
|
147 |
142 |
$0.00 |
| 90680 |
|
147 |
106 |
$0.00 |
| 90698 |
|
15 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90671 |
|
345 |
292 |
$0.00 |
| 90633 |
|
217 |
196 |
$0.00 |
| 90715 |
|
42 |
28 |
$0.00 |
| 90672 |
|
53 |
50 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |