| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
713 |
696 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
324 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
906 |
480 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
214 |
214 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
160 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
451 |
$14K |
| 90461 |
|
436 |
132 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
84 |
84 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
308 |
308 |
$5K |
| 96127 |
|
292 |
292 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
192 |
192 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
71 |
70 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
71 |
70 |
$4K |
| 85027 |
|
40 |
40 |
$654.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$443.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$353.08 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$277.80 |
| 81025 |
|
15 |
15 |
$195.60 |
| 83525 |
|
12 |
12 |
$189.00 |
| 82947 |
|
13 |
12 |
$70.33 |
| 81003 |
|
14 |
13 |
$43.40 |