| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,662 |
10,685 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,973 |
6,337 |
$393K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,850 |
1,515 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,672 |
1,571 |
$116K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,520 |
2,351 |
$99K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,834 |
4,492 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,798 |
2,667 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,086 |
1,008 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
734 |
691 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,407 |
1,179 |
$10K |
| 99173 |
|
1,883 |
1,801 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
65 |
46 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
223 |
182 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
70 |
56 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
42 |
25 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
180 |
168 |
$2K |
| 99220 |
|
16 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
28 |
$567.28 |
| 0071A |
|
14 |
13 |
$404.00 |
| 90670 |
|
1,242 |
1,145 |
$218.33 |
| 90633 |
|
220 |
194 |
$34.89 |
| 90686 |
|
1,398 |
1,315 |
$30.52 |
| 90648 |
|
1,156 |
1,073 |
$6.00 |
| 90651 |
|
77 |
72 |
$3.00 |
| 90700 |
|
14 |
14 |
$1.00 |
| 90671 |
|
71 |
67 |
$0.25 |
| 90723 |
|
784 |
718 |
$0.03 |
| 90680 |
|
474 |
433 |
$0.02 |
| 90656 |
|
44 |
43 |
$0.00 |
| 90696 |
|
29 |
28 |
$0.00 |
| 91307 |
|
36 |
29 |
$0.00 |
| 90734 |
|
182 |
170 |
$0.00 |
| 90685 |
|
212 |
196 |
$0.00 |
| 90715 |
|
72 |
67 |
$0.00 |
| 90710 |
|
213 |
202 |
$0.00 |
| 90649 |
|
145 |
138 |
$0.00 |
| 90461 |
|
16 |
15 |
$0.00 |