| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,587 |
15,183 |
$777K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,323 |
6,179 |
$280K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,792 |
2,742 |
$203K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,741 |
2,631 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,163 |
2,123 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
844 |
796 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
631 |
597 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,945 |
1,851 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,049 |
985 |
$15K |
| 99381 |
|
132 |
132 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
335 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
113 |
$8K |
| 99383 |
|
50 |
49 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
928 |
819 |
$3K |
| 96127 |
|
291 |
251 |
$933.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
25 |
$687.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
36 |
$444.94 |
| 99173 |
|
1,139 |
1,008 |
$427.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$308.41 |
| 90686 |
|
1,260 |
1,087 |
$86.85 |
| 81002 |
|
13 |
12 |
$31.46 |
| 99000 |
|
23 |
23 |
$30.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
25 |
$0.02 |
| 90680 |
|
908 |
850 |
$0.00 |
| 90716 |
|
416 |
381 |
$0.00 |
| 90651 |
|
279 |
247 |
$0.00 |
| 90698 |
|
445 |
433 |
$0.00 |
| 90744 |
|
600 |
560 |
$0.00 |
| 90648 |
|
1,332 |
1,231 |
$0.00 |
| 90700 |
|
1,918 |
1,768 |
$0.00 |
| 90713 |
|
1,473 |
1,359 |
$0.00 |
| 90633 |
|
545 |
511 |
$0.00 |
| 90670 |
|
1,936 |
1,809 |
$0.00 |
| 90707 |
|
381 |
351 |
$0.00 |
| 90734 |
|
111 |
95 |
$0.00 |
| 90685 |
|
210 |
184 |
$0.00 |
| 90715 |
|
34 |
32 |
$0.00 |