| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,889 |
2,653 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,059 |
2,766 |
$185K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,210 |
1,752 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,561 |
1,514 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
937 |
917 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
511 |
498 |
$47K |
| 87428 |
|
631 |
600 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,839 |
1,765 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,841 |
2,736 |
$22K |
| 90461 |
|
538 |
519 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,006 |
972 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
726 |
699 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
137 |
135 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
62 |
$3K |
| 90473 |
|
213 |
204 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
157 |
$2K |
| 0111A |
|
24 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
57 |
$920.30 |
| 90686 |
|
406 |
382 |
$18.41 |
| 90656 |
|
19 |
19 |
$0.19 |