| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,989 |
7,378 |
$603K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,921 |
1,850 |
$200K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,790 |
1,711 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,713 |
3,711 |
$147K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,283 |
1,283 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
352 |
352 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
297 |
287 |
$13K |
| 92551 |
|
1,198 |
1,198 |
$12K |
| 87428 |
|
386 |
380 |
$11K |
| 99188 |
|
560 |
560 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
207 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
181 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 85018 |
|
348 |
348 |
$734.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
69 |
$600.42 |
| 0071A |
|
12 |
12 |
$480.00 |
| 83655 |
|
38 |
38 |
$409.26 |
| 90656 |
|
43 |
43 |
$198.50 |
| 96127 |
|
26 |
26 |
$101.24 |
| 96161 |
|
12 |
12 |
$60.00 |
| 90688 |
|
1,063 |
1,063 |
$20.91 |
| 90697 |
|
494 |
494 |
$0.00 |
| 90680 |
|
537 |
537 |
$0.00 |
| 91307 |
|
47 |
45 |
$0.00 |
| 90677 |
|
284 |
284 |
$0.00 |
| 90698 |
|
225 |
225 |
$0.00 |
| 90744 |
|
51 |
51 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90670 |
|
738 |
738 |
$0.00 |
| 90707 |
|
61 |
61 |
$0.00 |
| 90633 |
|
144 |
144 |
$0.00 |
| 91311 |
|
13 |
13 |
$0.00 |