| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,090 |
7,045 |
$446K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,628 |
2,544 |
$246K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,073 |
1,824 |
$168K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,184 |
3,508 |
$100K |
| 99199 |
Unlisted special service, procedure or report |
36,898 |
36,088 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,153 |
5,261 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
719 |
581 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
437 |
409 |
$34K |
| 90474 |
|
829 |
683 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
676 |
476 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
234 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
277 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
24 |
$3K |
| 96127 |
|
799 |
650 |
$2K |
| 83655 |
|
181 |
91 |
$1K |
| 90686 |
|
1,759 |
1,479 |
$1K |
| 99460 |
|
16 |
16 |
$806.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$419.43 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
51 |
37 |
$366.48 |
| 92551 |
|
541 |
427 |
$241.18 |
| 85018 |
|
625 |
506 |
$216.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
26 |
$124.32 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
66 |
$119.04 |
| 90633 |
|
475 |
332 |
$110.00 |
| 90473 |
|
19 |
13 |
$61.35 |
| 99173 |
|
1,488 |
1,267 |
$29.00 |
| 90651 |
|
43 |
39 |
$22.00 |
| 90670 |
|
2,279 |
1,821 |
$0.00 |
| 90685 |
|
29 |
28 |
$0.00 |
| 90687 |
|
29 |
27 |
$0.00 |
| 90710 |
|
67 |
59 |
$0.00 |
| 90680 |
|
1,073 |
830 |
$0.00 |
| 90744 |
|
540 |
411 |
$0.00 |
| 99000 |
|
420 |
338 |
$0.00 |
| 90698 |
|
1,553 |
1,163 |
$0.00 |
| 90688 |
|
52 |
43 |
$0.00 |
| 36416 |
|
282 |
236 |
$0.00 |
| 94760 |
|
33 |
25 |
$0.00 |