| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,477 |
1,391 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
296 |
281 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
205 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
222 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,524 |
822 |
$18K |
| 90461 |
|
898 |
497 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
143 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
86 |
86 |
$3K |
| 92587 |
|
54 |
54 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
202 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
121 |
$2K |
| 96161 |
|
168 |
165 |
$589.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$522.08 |
| 87807 |
|
49 |
44 |
$471.24 |
| 99050 |
|
12 |
12 |
$391.57 |
| 99177 |
|
83 |
78 |
$366.66 |
| 85018 |
|
35 |
35 |
$68.71 |
| 96160 |
|
14 |
12 |
$44.97 |
| 90656 |
|
14 |
13 |
$5.50 |