| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,276 |
13,010 |
$641K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,943 |
5,732 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,796 |
1,727 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,166 |
3,971 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,580 |
1,530 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,312 |
2,229 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,383 |
1,327 |
$74K |
| 92081 |
|
3,480 |
3,329 |
$57K |
| 92553 |
|
3,579 |
3,429 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
954 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
865 |
835 |
$46K |
| 90461 |
|
2,127 |
2,065 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
656 |
618 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,921 |
1,810 |
$23K |
| 90651 |
|
269 |
261 |
$18K |
| 90677 |
|
61 |
60 |
$14K |
| 90686 |
|
1,494 |
1,434 |
$11K |
| 90734 |
|
221 |
214 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
428 |
403 |
$6K |
| 97803 |
|
4,174 |
4,017 |
$4K |
| 92587 |
|
284 |
246 |
$4K |
| 81000 |
|
2,947 |
2,837 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$3K |
| 0071A |
|
80 |
78 |
$3K |
| 92551 |
|
266 |
261 |
$3K |
| 0072A |
|
78 |
72 |
$3K |
| 90620 |
|
28 |
25 |
$2K |
| 90670 |
|
253 |
236 |
$2K |
| 90633 |
|
278 |
259 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
65 |
$952.82 |
| 90716 |
|
49 |
42 |
$728.81 |
| 90715 |
|
84 |
83 |
$728.77 |
| 90688 |
|
41 |
41 |
$650.00 |
| 90700 |
|
142 |
134 |
$635.39 |
| 90648 |
|
167 |
161 |
$180.33 |
| 99173 |
|
627 |
546 |
$176.36 |
| 90707 |
|
15 |
13 |
$148.07 |
| 85027 |
|
29 |
29 |
$145.51 |
| 83655 |
|
56 |
49 |
$121.61 |
| 90713 |
|
26 |
26 |
$85.28 |
| 90744 |
|
14 |
14 |
$27.36 |
| 91307 |
|
160 |
143 |
$7.00 |