| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,041 |
7,423 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,155 |
3,491 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
688 |
576 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
513 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,638 |
2,405 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,072 |
1,740 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,153 |
1,028 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
172 |
146 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
347 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
116 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
93 |
42 |
$6K |
| 92551 |
|
343 |
327 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
155 |
149 |
$2K |
| 90474 |
|
133 |
110 |
$979.69 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
13 |
$737.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
381 |
$732.10 |
| 99050 |
|
47 |
42 |
$672.72 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18 |
14 |
$477.72 |
| 99173 |
|
234 |
228 |
$354.37 |
| 90647 |
|
117 |
105 |
$0.13 |
| 90633 |
|
56 |
53 |
$0.03 |
| 90672 |
|
15 |
12 |
$0.00 |
| 90670 |
|
340 |
285 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 90723 |
|
181 |
138 |
$0.00 |
| 90680 |
|
124 |
96 |
$0.00 |
| 90686 |
|
941 |
840 |
$0.00 |