| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,612 |
5,212 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,792 |
2,630 |
$154K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,140 |
4,054 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,540 |
2,472 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
443 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
606 |
593 |
$24K |
| 92551 |
|
1,503 |
1,477 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
206 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
196 |
$15K |
| 87428 |
|
262 |
248 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
237 |
227 |
$8K |
| 99173 |
|
1,465 |
1,440 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
206 |
$2K |
| 90480 |
|
25 |
25 |
$486.24 |
| 87400 |
|
30 |
15 |
$170.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$163.79 |
| 87807 |
|
15 |
12 |
$149.66 |
| 96127 |
|
36 |
35 |
$76.56 |
| 90686 |
|
715 |
698 |
$3.88 |
| 91307 |
|
33 |
25 |
$1.00 |
| 90698 |
|
40 |
38 |
$0.01 |
| 90656 |
|
79 |
79 |
$0.00 |
| 90670 |
|
65 |
65 |
$0.00 |
| 90685 |
|
105 |
105 |
$0.00 |