| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,077 |
4,568 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,125 |
1,116 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
886 |
878 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,637 |
2,515 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
628 |
610 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
305 |
285 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,438 |
1,401 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
562 |
561 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
299 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,230 |
1,198 |
$6K |
| 99177 |
|
1,925 |
1,793 |
$5K |
| 90686 |
|
695 |
665 |
$3K |
| 90672 |
|
216 |
215 |
$2K |
| 0071A |
|
48 |
40 |
$2K |
| 90670 |
|
69 |
67 |
$2K |
| 3008F |
|
1,191 |
1,071 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
591 |
584 |
$1K |
| 90473 |
|
90 |
90 |
$871.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
78 |
$465.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
23 |
$452.30 |
| 96160 |
|
415 |
384 |
$374.56 |
| 90633 |
|
24 |
24 |
$122.31 |
| 90685 |
|
14 |
14 |
$96.30 |
| 90698 |
|
13 |
13 |
$92.58 |
| 90680 |
|
13 |
13 |
$82.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
28 |
$67.72 |
| 91307 |
|
48 |
40 |
$22.00 |
| 99000 |
|
14 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
12 |
$0.00 |
| 99072 |
|
1,132 |
1,070 |
$0.00 |