| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,133 |
4,653 |
$239K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,223 |
1,175 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
893 |
864 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
681 |
662 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
235 |
222 |
$25K |
| 90688 |
|
664 |
646 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
84 |
$8K |
| 92551 |
|
1,192 |
1,083 |
$7K |
| 99080 |
|
319 |
314 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
570 |
489 |
$6K |
| 96127 |
|
1,213 |
1,155 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
127 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
365 |
350 |
$3K |
| 99173 |
|
1,226 |
1,107 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
460 |
379 |
$2K |
| 90686 |
|
150 |
150 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
33 |
$560.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
26 |
$545.25 |
| 90619 |
|
89 |
89 |
$510.48 |
| 90715 |
|
43 |
43 |
$397.04 |
| 90671 |
|
25 |
25 |
$354.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
35 |
$309.92 |
| 99174 |
|
30 |
30 |
$243.60 |
| 90734 |
|
16 |
16 |
$226.88 |
| 90670 |
|
48 |
42 |
$200.16 |
| 90698 |
|
15 |
13 |
$180.16 |
| S3645 |
Hiv-1 antibody testing of oral mucosal transudate |
14 |
14 |
$56.72 |
| 96160 |
|
118 |
96 |
$2.18 |
| G9920 |
Screening performed and negative |
62 |
54 |
$0.00 |
| 83655 |
|
40 |
37 |
$0.00 |