| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,251 |
3,021 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,905 |
1,878 |
$159K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,177 |
1,800 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,107 |
1,095 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
831 |
818 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,485 |
1,400 |
$69K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,981 |
1,934 |
$31K |
| 87428 |
|
436 |
423 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,656 |
2,600 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
997 |
980 |
$15K |
| 90461 |
|
457 |
448 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
854 |
841 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
150 |
123 |
$8K |
| 99460 |
|
154 |
129 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
44 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
85 |
$3K |
| 90473 |
|
249 |
238 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
89 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
165 |
$2K |
| 99462 |
|
24 |
13 |
$605.61 |
| 99051 |
|
12 |
12 |
$286.49 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
14 |
$266.85 |
| 88720 |
|
33 |
24 |
$92.11 |
| 90686 |
|
38 |
38 |
$1.44 |
| 90656 |
|
15 |
15 |
$0.15 |