| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,661 |
16,137 |
$1.11M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,921 |
7,627 |
$364K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,463 |
3,121 |
$312K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,359 |
2,270 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,504 |
2,379 |
$202K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
992 |
914 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,348 |
6,149 |
$81K |
| 92551 |
|
2,927 |
2,694 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,602 |
1,581 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
308 |
277 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
276 |
244 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
573 |
461 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
207 |
187 |
$10K |
| 90670 |
|
965 |
948 |
$9K |
| 90461 |
|
3,847 |
3,715 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
478 |
411 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
329 |
318 |
$5K |
| 90686 |
|
2,307 |
2,215 |
$5K |
| 87634 |
|
45 |
43 |
$3K |
| 90677 |
|
148 |
144 |
$2K |
| 99461 |
|
55 |
50 |
$2K |
| 96127 |
|
194 |
171 |
$2K |
| 90671 |
|
68 |
60 |
$2K |
| 90697 |
|
103 |
96 |
$2K |
| 90680 |
|
304 |
297 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
82 |
$1K |
| 90723 |
|
308 |
303 |
$1K |
| 90656 |
|
254 |
243 |
$690.68 |
| 90480 |
|
13 |
13 |
$520.00 |
| 90647 |
|
368 |
363 |
$375.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$263.81 |
| 90633 |
|
83 |
80 |
$255.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
13 |
$155.48 |
| 99173 |
|
20 |
13 |
$32.24 |
| 94760 |
|
12 |
12 |
$29.52 |
| 90685 |
|
184 |
184 |
$0.00 |
| 91305 |
|
16 |
13 |
$0.00 |