| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,795 |
7,925 |
$584K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,919 |
1,868 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,573 |
1,426 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,460 |
1,441 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
989 |
973 |
$86K |
| 87428 |
|
946 |
910 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,000 |
1,931 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,693 |
3,589 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
627 |
565 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
216 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,305 |
1,259 |
$18K |
| 90461 |
|
451 |
434 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
232 |
201 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
843 |
811 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
282 |
279 |
$9K |
| 99460 |
|
199 |
178 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
939 |
916 |
$9K |
| 99051 |
|
363 |
357 |
$9K |
| 90480 |
|
143 |
143 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
93 |
$2K |
| 99462 |
|
60 |
41 |
$1K |
| 90473 |
|
108 |
105 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 0124A |
|
18 |
18 |
$743.22 |
| 0071A |
|
19 |
19 |
$709.39 |
| 0144A |
|
12 |
12 |
$468.09 |
| 90686 |
|
300 |
265 |
$13.05 |
| 90670 |
|
26 |
13 |
$1.30 |
| 90656 |
|
27 |
27 |
$0.25 |