| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,142 |
8,261 |
$547K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,105 |
1,086 |
$87K |
| 90686 |
|
2,808 |
2,704 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
435 |
397 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
693 |
632 |
$26K |
| 92552 |
|
1,012 |
999 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
328 |
322 |
$25K |
| 87428 |
|
359 |
349 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
91 |
$8K |
| 99173 |
|
2,436 |
2,369 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,248 |
4,134 |
$6K |
| 94760 |
|
13,810 |
12,542 |
$5K |
| 90670 |
|
284 |
268 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
71 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
108 |
$3K |
| 90677 |
|
28 |
25 |
$3K |
| 90651 |
|
55 |
51 |
$3K |
| 0071A |
|
69 |
69 |
$3K |
| 90671 |
|
28 |
28 |
$3K |
| 99000 |
|
2,637 |
2,480 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,576 |
1,415 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
60 |
59 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
133 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
34 |
$1K |
| 0072A |
|
35 |
35 |
$1K |
| 90633 |
|
106 |
101 |
$1K |
| 90648 |
|
108 |
99 |
$1K |
| 90697 |
|
25 |
25 |
$984.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
92 |
$893.85 |
| 90656 |
|
37 |
37 |
$826.95 |
| 36415 |
Collection of venous blood by venipuncture |
411 |
359 |
$762.72 |
| 0002A |
|
20 |
20 |
$760.00 |
| 90461 |
|
381 |
351 |
$592.75 |
| 90681 |
|
55 |
53 |
$581.00 |
| 90734 |
|
15 |
13 |
$564.20 |
| 90723 |
|
38 |
34 |
$542.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,339 |
1,011 |
$536.99 |
| 90480 |
|
14 |
14 |
$509.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$417.33 |
| 90698 |
|
12 |
12 |
$121.00 |