| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,300 |
1,107 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
369 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
869 |
820 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
491 |
405 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
120 |
116 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
209 |
204 |
$4K |
| 90686 |
|
444 |
400 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
29 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99177 |
|
77 |
77 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$578.60 |
| 90480 |
|
14 |
13 |
$541.77 |
| 90656 |
|
73 |
73 |
$458.55 |
| 96127 |
|
13 |
13 |
$182.28 |
| 94760 |
|
13 |
12 |
$23.16 |
| 99072 |
|
15 |
13 |
$1.75 |
| 90698 |
|
14 |
14 |
$0.00 |
| 99000 |
|
26 |
26 |
$0.00 |