| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,815 |
2,454 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,285 |
1,266 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
978 |
890 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,249 |
1,232 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,040 |
2,104 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
792 |
783 |
$73K |
| 92552 |
|
1,299 |
1,263 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
196 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,002 |
981 |
$10K |
| 99381 |
|
58 |
56 |
$5K |
| 90661 |
|
120 |
120 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
122 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
170 |
80 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
80 |
$883.02 |
| 83655 |
|
85 |
84 |
$871.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$831.66 |
| 96127 |
|
188 |
182 |
$657.41 |
| 99188 |
|
25 |
25 |
$525.60 |
| 85018 |
|
144 |
144 |
$294.70 |
| 81002 |
|
42 |
40 |
$106.33 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$77.83 |
| 90674 |
|
94 |
94 |
$60.00 |
| 99177 |
|
3,218 |
2,819 |
$34.63 |
| 90686 |
|
153 |
149 |
$23.60 |
| 90677 |
|
286 |
286 |
$10.00 |
| 90723 |
|
156 |
154 |
$0.00 |
| 90651 |
|
294 |
292 |
$0.00 |
| 90620 |
|
42 |
42 |
$0.00 |
| 90696 |
|
56 |
56 |
$0.00 |
| 90697 |
|
135 |
134 |
$0.00 |
| 90681 |
|
355 |
352 |
$0.00 |
| 90710 |
|
323 |
320 |
$0.00 |
| 90700 |
|
157 |
156 |
$0.00 |
| 90734 |
|
154 |
153 |
$0.00 |
| 90715 |
|
39 |
38 |
$0.00 |
| 90633 |
|
345 |
343 |
$0.00 |
| 90670 |
|
394 |
389 |
$0.00 |
| 99173 |
|
885 |
789 |
$0.00 |
| 90648 |
|
400 |
395 |
$0.00 |
| 90713 |
|
25 |
25 |
$0.00 |