| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,517 |
11,050 |
$813K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,623 |
3,623 |
$335K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,387 |
3,273 |
$294K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,612 |
2,612 |
$239K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,825 |
6,786 |
$238K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,439 |
9,408 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,910 |
3,776 |
$161K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,318 |
1,318 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
738 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,625 |
3,769 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
899 |
887 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,007 |
1,000 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,484 |
1,472 |
$21K |
| 99381 |
|
215 |
215 |
$21K |
| 80061 |
Lipid panel |
1,170 |
1,169 |
$14K |
| 99173 |
|
5,205 |
5,204 |
$13K |
| 83655 |
|
758 |
757 |
$8K |
| 90473 |
|
462 |
462 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
403 |
$8K |
| 0071A |
|
135 |
133 |
$5K |
| 82947 |
|
1,236 |
1,236 |
$4K |
| 99188 |
|
363 |
363 |
$4K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$4K |
| 96127 |
|
812 |
805 |
$3K |
| 0072A |
|
72 |
71 |
$3K |
| 99051 |
|
235 |
233 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 0111A |
|
28 |
28 |
$1K |
| 90480 |
|
27 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 96380 |
|
41 |
41 |
$810.79 |
| 0051A |
|
16 |
15 |
$640.00 |
| 96381 |
|
14 |
14 |
$203.30 |
| 87807 |
|
15 |
14 |
$174.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$149.88 |
| 85018 |
|
67 |
66 |
$142.56 |
| 96161 |
|
164 |
144 |
$76.48 |
| 90651 |
|
1,165 |
1,164 |
$0.01 |
| 90620 |
|
144 |
144 |
$0.01 |
| 90656 |
|
29 |
29 |
$0.01 |
| 90633 |
|
1,381 |
1,378 |
$0.00 |
| 90734 |
|
494 |
494 |
$0.00 |
| 90670 |
|
2,446 |
2,444 |
$0.00 |
| 90672 |
|
93 |
93 |
$0.00 |
| 90700 |
|
85 |
84 |
$0.00 |
| 96160 |
|
2,632 |
2,631 |
$0.00 |
| 90681 |
|
778 |
776 |
$0.00 |
| 90671 |
|
124 |
124 |
$0.00 |
| 90710 |
|
253 |
253 |
$0.00 |
| 90715 |
|
232 |
232 |
$0.00 |
| 90707 |
|
124 |
124 |
$0.00 |
| 91311 |
|
30 |
30 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90697 |
|
475 |
475 |
$0.00 |
| 90686 |
|
1,803 |
1,799 |
$0.00 |
| 90647 |
|
1,191 |
1,190 |
$0.00 |
| 90674 |
|
350 |
350 |
$0.00 |
| 90716 |
|
178 |
178 |
$0.00 |
| 90688 |
|
442 |
442 |
$0.00 |
| 90723 |
|
978 |
977 |
$0.00 |
| 90619 |
|
110 |
110 |
$0.00 |
| 90696 |
|
190 |
190 |
$0.00 |
| 90677 |
|
308 |
308 |
$0.00 |
| 91307 |
|
255 |
237 |
$0.00 |
| 90698 |
|
183 |
182 |
$0.00 |
| 90381 |
|
37 |
37 |
$0.00 |
| 91305 |
|
17 |
15 |
$0.00 |