| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,224 |
5,744 |
$469K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,194 |
2,032 |
$301K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,946 |
1,914 |
$283K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,744 |
1,702 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,924 |
1,844 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,059 |
1,050 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,943 |
3,830 |
$36K |
| 99381 |
|
298 |
293 |
$33K |
| 92552 |
|
3,587 |
3,519 |
$29K |
| 99215 |
Prolong outpt/office vis |
88 |
78 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
605 |
598 |
$7K |
| 90686 |
|
1,321 |
1,296 |
$7K |
| 0071A |
|
98 |
97 |
$4K |
| 0072A |
|
91 |
91 |
$4K |
| 0002A |
|
69 |
69 |
$3K |
| 99188 |
|
634 |
610 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
431 |
427 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 90651 |
|
559 |
557 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
64 |
$2K |
| 0001A |
|
73 |
73 |
$2K |
| 91300 |
|
155 |
132 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
27 |
$926.35 |
| 90670 |
|
1,472 |
1,453 |
$748.52 |
| 90633 |
|
588 |
580 |
$739.92 |
| 90648 |
|
1,464 |
1,445 |
$732.18 |
| 90710 |
|
648 |
639 |
$558.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
194 |
$371.01 |
| 96127 |
|
470 |
453 |
$370.46 |
| 90723 |
|
763 |
751 |
$240.08 |
| 90700 |
|
539 |
533 |
$156.05 |
| 81002 |
|
214 |
195 |
$150.04 |
| 99173 |
|
2,852 |
2,685 |
$116.74 |
| 90734 |
|
292 |
291 |
$72.02 |
| 90620 |
|
26 |
26 |
$60.02 |
| 90713 |
|
124 |
123 |
$60.01 |
| 90715 |
|
70 |
70 |
$48.01 |
| 85018 |
|
80 |
79 |
$41.37 |
| 90696 |
|
129 |
129 |
$35.00 |
| 83655 |
|
38 |
38 |
$22.38 |
| 91307 |
|
191 |
158 |
$0.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
192 |
$0.00 |
| 99177 |
|
1,573 |
1,513 |
$0.00 |
| 90681 |
|
841 |
829 |
$0.00 |