| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,914 |
3,584 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
996 |
794 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
947 |
893 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
437 |
428 |
$42K |
| 87428 |
|
543 |
528 |
$30K |
| 90461 |
|
445 |
429 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
724 |
674 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
179 |
176 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
71 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,011 |
976 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
411 |
398 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
70 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
151 |
$1K |
| 99051 |
|
52 |
52 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
126 |
124 |
$836.17 |
| 90473 |
|
56 |
53 |
$594.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
43 |
$552.56 |
| 88720 |
|
46 |
26 |
$183.13 |
| 96127 |
|
19 |
19 |
$48.51 |
| 90656 |
|
14 |
14 |
$0.13 |