| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,842 |
5,277 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,842 |
1,779 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,654 |
1,598 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,507 |
1,439 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
979 |
933 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,181 |
1,073 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,705 |
4,483 |
$47K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
634 |
596 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,353 |
2,270 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
693 |
654 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,713 |
2,468 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
363 |
342 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
507 |
490 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
75 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
527 |
517 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
290 |
251 |
$4K |
| 87807 |
|
315 |
305 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 92552 |
|
17 |
14 |
$227.34 |
| 96160 |
|
183 |
171 |
$116.38 |
| 94761 |
|
310 |
266 |
$5.09 |
| 96161 |
|
55 |
49 |
$5.06 |
| 90697 |
|
15 |
15 |
$0.04 |
| 90686 |
|
2,210 |
2,132 |
$0.02 |
| 90620 |
|
260 |
253 |
$0.01 |
| 90723 |
|
172 |
167 |
$0.00 |
| 90698 |
|
84 |
83 |
$0.00 |
| 90696 |
|
60 |
56 |
$0.00 |
| 90681 |
|
132 |
132 |
$0.00 |
| 90734 |
|
409 |
381 |
$0.00 |
| 90670 |
|
1,000 |
907 |
$0.00 |
| 90710 |
|
295 |
273 |
$0.00 |
| 90648 |
|
301 |
277 |
$0.00 |
| 90649 |
|
404 |
378 |
$0.00 |
| 90633 |
|
377 |
356 |
$0.00 |
| 90714 |
|
96 |
87 |
$0.00 |
| 99173 |
|
17 |
12 |
$0.00 |