| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,891 |
2,291 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,360 |
2,931 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,725 |
1,550 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
711 |
707 |
$69K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,378 |
2,323 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,464 |
2,400 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
213 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,000 |
1,834 |
$16K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
319 |
315 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
249 |
151 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
123 |
$4K |
| 99460 |
|
52 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
335 |
269 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$1K |
| 92587 |
|
73 |
73 |
$1K |
| 97802 |
|
2,489 |
2,314 |
$35.00 |
| 83655 |
|
13 |
13 |
$20.06 |
| 85018 |
|
12 |
12 |
$3.92 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90670 |
|
588 |
585 |
$0.00 |
| 90648 |
|
142 |
140 |
$0.00 |
| 90671 |
|
95 |
94 |
$0.00 |
| 90633 |
|
148 |
148 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| 90681 |
|
37 |
37 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90723 |
|
58 |
58 |
$0.00 |
| 90680 |
|
510 |
507 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 90697 |
|
131 |
130 |
$0.00 |
| 90677 |
|
48 |
48 |
$0.00 |
| 90698 |
|
66 |
65 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90656 |
|
36 |
35 |
$0.00 |
| 90686 |
|
228 |
227 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |