| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,222 |
4,982 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
694 |
659 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,729 |
3,487 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
595 |
539 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
525 |
513 |
$38K |
| 92588 |
|
1,218 |
1,191 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
380 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
730 |
641 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,806 |
1,672 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
237 |
$20K |
| 97803 |
|
1,352 |
1,313 |
$14K |
| 92552 |
|
276 |
264 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
408 |
401 |
$4K |
| 90688 |
|
765 |
744 |
$4K |
| 99173 |
|
1,164 |
1,127 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
314 |
288 |
$3K |
| 90670 |
|
60 |
55 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
73 |
$1K |
| 99401 |
|
199 |
191 |
$891.96 |
| 90658 |
|
120 |
120 |
$872.02 |
| 85018 |
|
436 |
422 |
$554.28 |
| 92587 |
|
33 |
31 |
$487.18 |
| 81000 |
|
240 |
229 |
$437.59 |
| 96127 |
|
111 |
106 |
$356.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$211.52 |
| 90700 |
|
37 |
37 |
$195.52 |
| 90687 |
|
119 |
111 |
$193.49 |
| 90633 |
|
27 |
25 |
$112.08 |
| 90713 |
|
40 |
36 |
$110.15 |
| 90648 |
|
39 |
38 |
$66.49 |
| 36416 |
|
43 |
42 |
$17.20 |