| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,163 |
1,937 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,969 |
1,769 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
669 |
571 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
476 |
428 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
334 |
307 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,169 |
1,079 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
63 |
$6K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
188 |
$4K |
| 90671 |
|
70 |
64 |
$3K |
| 92587 |
|
69 |
63 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$2K |
| 90686 |
|
833 |
772 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
21 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
32 |
$387.09 |
| 96127 |
|
14 |
14 |
$253.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$252.34 |
| 90656 |
|
66 |
65 |
$194.25 |
| 99177 |
|
24 |
24 |
$171.96 |
| 99173 |
|
12 |
12 |
$126.60 |
| 36416 |
|
92 |
65 |
$44.32 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90633 |
|
16 |
15 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |