| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,352 |
2,854 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,109 |
1,818 |
$215K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,824 |
1,733 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,997 |
1,827 |
$41K |
| 87428 |
|
892 |
811 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
431 |
395 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
170 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
126 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
327 |
292 |
$10K |
| 99070 |
|
550 |
504 |
$8K |
| 96127 |
|
248 |
235 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
206 |
196 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
36 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
249 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
25 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
17 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
131 |
$2K |
| 92551 |
|
260 |
233 |
$1K |
| 99443 |
|
15 |
12 |
$954.85 |
| 86403 |
|
69 |
65 |
$642.18 |
| 36416 |
|
195 |
171 |
$582.96 |
| 0072A |
|
13 |
13 |
$520.00 |
| 99173 |
|
76 |
71 |
$516.80 |
| 87807 |
|
44 |
39 |
$480.90 |
| 0071A |
|
12 |
12 |
$440.00 |
| 99174 |
|
12 |
12 |
$220.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
179 |
160 |
$176.65 |
| 90686 |
|
882 |
827 |
$38.07 |
| 85018 |
|
323 |
296 |
$11.30 |
| 91307 |
|
36 |
33 |
$0.00 |
| 90656 |
|
115 |
111 |
$0.00 |
| 90685 |
|
14 |
12 |
$0.00 |