| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,396 |
40,271 |
$2.89M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,245 |
8,820 |
$895K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,011 |
10,005 |
$260K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,430 |
2,428 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,309 |
2,308 |
$210K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,197 |
1,197 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,308 |
1,305 |
$110K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
612 |
605 |
$89K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,625 |
3,588 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,130 |
2,129 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
724 |
717 |
$19K |
| 87631 |
|
87 |
84 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
166 |
164 |
$7K |
| 92551 |
|
932 |
932 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
135 |
$5K |
| 0072A |
|
116 |
114 |
$5K |
| 0071A |
|
108 |
108 |
$4K |
| 87807 |
|
267 |
266 |
$4K |
| 87070 |
|
436 |
435 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
232 |
231 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
152 |
$1K |
| 99173 |
|
582 |
582 |
$645.63 |
| 90686 |
|
1,206 |
1,206 |
$513.60 |
| 0002A |
|
13 |
13 |
$511.67 |
| 0001A |
|
13 |
13 |
$503.91 |
| 99442 |
|
15 |
15 |
$454.21 |
| 83655 |
|
27 |
27 |
$307.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$187.20 |
| 90734 |
|
62 |
60 |
$169.89 |
| 96127 |
|
14 |
12 |
$96.70 |
| 90656 |
|
117 |
117 |
$44.26 |
| 91307 |
|
91 |
89 |
$0.04 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90710 |
|
40 |
40 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |