| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,372 |
17,185 |
$1.21M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,504 |
3,499 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,500 |
3,494 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,232 |
2,144 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,513 |
2,496 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,905 |
1,903 |
$162K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,111 |
6,060 |
$126K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,973 |
1,908 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,864 |
3,690 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,479 |
1,394 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,136 |
4,114 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,339 |
1,297 |
$33K |
| 83655 |
|
672 |
668 |
$7K |
| 99383 |
|
55 |
55 |
$5K |
| 96127 |
|
1,606 |
1,584 |
$5K |
| 90677 |
|
179 |
179 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
361 |
361 |
$3K |
| 87807 |
|
307 |
297 |
$3K |
| 99460 |
|
54 |
54 |
$3K |
| 36416 |
|
621 |
617 |
$2K |
| 85018 |
|
763 |
760 |
$2K |
| 99462 |
|
59 |
37 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99442 |
|
51 |
51 |
$783.59 |
| 99441 |
|
64 |
63 |
$507.28 |
| D0190 |
|
18 |
18 |
$348.48 |
| 81002 |
|
70 |
67 |
$185.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$171.71 |
| 99188 |
|
18 |
18 |
$135.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
71 |
$48.98 |
| 99499 |
|
352 |
348 |
$0.35 |
| 90685 |
|
161 |
160 |
$0.03 |
| G9002 |
Coordinated care fee, maintenance rate |
3,362 |
2,962 |
$0.01 |
| 90686 |
|
1,489 |
1,485 |
$0.00 |
| 90619 |
|
201 |
201 |
$0.00 |
| 90680 |
|
715 |
710 |
$0.00 |
| 90744 |
|
709 |
705 |
$0.00 |
| 90698 |
|
1,613 |
1,601 |
$0.00 |
| 90696 |
|
169 |
168 |
$0.00 |
| 90651 |
|
296 |
295 |
$0.00 |
| 90656 |
|
120 |
120 |
$0.00 |
| 90716 |
|
32 |
32 |
$0.00 |
| 90670 |
|
1,420 |
1,411 |
$0.00 |
| 90633 |
|
697 |
692 |
$0.00 |
| 90461 |
|
3,217 |
3,200 |
$0.00 |
| 90734 |
|
156 |
156 |
$0.00 |
| 99072 |
|
831 |
779 |
$0.00 |
| 90710 |
|
173 |
173 |
$0.00 |
| 90715 |
|
85 |
84 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |