| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,268 |
3,388 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,309 |
1,130 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,156 |
1,014 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
583 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,778 |
1,524 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,216 |
1,054 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
905 |
754 |
$17K |
| 86328 |
|
465 |
174 |
$11K |
| 90461 |
|
471 |
413 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
613 |
575 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
145 |
73 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 90474 |
|
170 |
169 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 87807 |
|
28 |
16 |
$189.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$99.23 |
| 99174 |
|
14 |
14 |
$94.64 |
| 99177 |
|
13 |
13 |
$55.90 |
| 90647 |
|
489 |
384 |
$0.00 |
| 90723 |
|
463 |
373 |
$0.00 |
| 90686 |
|
114 |
98 |
$0.00 |
| 90656 |
|
52 |
28 |
$0.00 |
| 90670 |
|
651 |
530 |
$0.00 |
| 90633 |
|
239 |
190 |
$0.00 |
| 90710 |
|
130 |
111 |
$0.00 |
| 90655 |
|
144 |
78 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90681 |
|
105 |
70 |
$0.00 |
| 90685 |
|
24 |
12 |
$0.00 |