| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,607 |
4,418 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,220 |
2,124 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,742 |
1,735 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,310 |
1,266 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,012 |
941 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
885 |
$44K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
106 |
103 |
$18K |
| 90686 |
|
1,683 |
1,663 |
$16K |
| 92551 |
|
889 |
876 |
$12K |
| 90670 |
|
842 |
825 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
152 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
490 |
427 |
$8K |
| 90648 |
|
866 |
853 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
88 |
88 |
$6K |
| 96127 |
|
664 |
658 |
$6K |
| 90723 |
|
602 |
589 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
322 |
316 |
$5K |
| 99177 |
|
326 |
323 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$4K |
| 99499 |
|
141 |
133 |
$3K |
| 96161 |
|
571 |
546 |
$3K |
| 90681 |
|
271 |
262 |
$3K |
| 90716 |
|
345 |
322 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
161 |
$3K |
| 90688 |
|
296 |
293 |
$3K |
| 90707 |
|
343 |
321 |
$2K |
| 3008F |
|
181 |
181 |
$2K |
| 90633 |
|
297 |
291 |
$2K |
| 90651 |
|
179 |
175 |
$2K |
| 90620 |
|
13 |
13 |
$1K |
| 85018 |
|
171 |
169 |
$1K |
| 99188 |
|
30 |
30 |
$945.74 |
| 0071A |
|
12 |
12 |
$868.73 |
| 99173 |
|
49 |
49 |
$654.62 |
| 90671 |
|
39 |
39 |
$468.00 |
| 90734 |
|
39 |
38 |
$415.20 |
| 90696 |
|
15 |
15 |
$190.05 |
| 99000 |
|
174 |
170 |
$175.12 |
| 83718 |
|
14 |
14 |
$163.03 |
| 82465 |
|
14 |
14 |
$144.74 |
| 90700 |
|
12 |
12 |
$126.70 |
| 36416 |
|
12 |
12 |
$0.00 |