| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,764 |
3,268 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,707 |
1,560 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,215 |
1,175 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,564 |
1,378 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,615 |
2,050 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
315 |
294 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,165 |
1,734 |
$16K |
| 99381 |
|
299 |
272 |
$12K |
| 99383 |
|
174 |
173 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
121 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
164 |
$8K |
| 99382 |
|
119 |
114 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,116 |
555 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
331 |
323 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
791 |
748 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
221 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
178 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
37 |
$3K |
| 92551 |
|
380 |
375 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
192 |
127 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
143 |
142 |
$2K |
| 69210 |
|
98 |
90 |
$1K |
| 96127 |
|
1,851 |
1,617 |
$1K |
| 87807 |
|
220 |
208 |
$1K |
| 90461 |
|
1,293 |
818 |
$1K |
| 92552 |
|
557 |
529 |
$744.12 |
| 87400 |
|
56 |
54 |
$573.72 |
| 92567 |
|
42 |
42 |
$489.69 |
| 94760 |
|
463 |
427 |
$468.26 |
| 96160 |
|
3,367 |
2,941 |
$348.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
63 |
$330.24 |
| 86480 |
|
18 |
17 |
$320.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$169.53 |
| 94664 |
|
14 |
14 |
$35.00 |
| 90473 |
|
13 |
13 |
$13.75 |
| 99173 |
|
1,002 |
963 |
$5.25 |
| 90697 |
|
330 |
322 |
$2.39 |
| 90686 |
|
55 |
55 |
$0.08 |
| 90670 |
|
1,223 |
1,190 |
$0.07 |
| 90681 |
|
406 |
399 |
$0.03 |
| 90633 |
|
473 |
467 |
$0.00 |
| 90648 |
|
50 |
50 |
$0.00 |
| 90710 |
|
274 |
256 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |
| 90698 |
|
320 |
314 |
$0.00 |
| 90688 |
|
189 |
188 |
$0.00 |
| 96161 |
|
18 |
18 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |