| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,127 |
18,835 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,882 |
6,456 |
$809K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,933 |
5,775 |
$258K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,567 |
2,501 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
457 |
452 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,214 |
2,163 |
$56K |
| 96127 |
|
2,257 |
2,167 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
340 |
329 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
189 |
$26K |
| 99215 |
Prolong outpt/office vis |
168 |
162 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
170 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
912 |
892 |
$16K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
131 |
119 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
183 |
174 |
$12K |
| 92551 |
|
1,483 |
1,457 |
$9K |
| 95115 |
|
904 |
570 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
716 |
669 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
593 |
306 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
154 |
147 |
$5K |
| 99173 |
|
424 |
420 |
$3K |
| 87081 |
|
388 |
373 |
$2K |
| 99050 |
|
15 |
15 |
$241.20 |
| 90686 |
|
3,653 |
3,583 |
$191.44 |
| 90461 |
|
758 |
745 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90685 |
|
130 |
130 |
$0.00 |
| 90656 |
|
212 |
202 |
$0.00 |
| 88738 |
|
138 |
135 |
$0.00 |
| 90651 |
|
16 |
14 |
$0.00 |