| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,974 |
11,059 |
$464K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,656 |
2,639 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,209 |
2,197 |
$156K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,997 |
4,916 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,013 |
1,988 |
$149K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,870 |
3,824 |
$143K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,130 |
6,031 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,425 |
1,417 |
$106K |
| 92567 |
|
3,664 |
3,646 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
261 |
$17K |
| 99173 |
|
3,378 |
3,350 |
$16K |
| 90474 |
|
429 |
424 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
767 |
751 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
218 |
110 |
$3K |
| 99381 |
|
38 |
38 |
$2K |
| 99383 |
|
29 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$165.00 |
| 81003 |
|
53 |
53 |
$78.00 |
| 90686 |
|
1,479 |
1,472 |
$38.06 |
| 90723 |
|
1,317 |
1,305 |
$0.08 |
| 90677 |
|
221 |
215 |
$0.08 |
| 90647 |
|
1,348 |
1,330 |
$0.07 |
| 90707 |
|
643 |
635 |
$0.05 |
| 90681 |
|
420 |
414 |
$0.05 |
| 90716 |
|
649 |
641 |
$0.05 |
| 90633 |
|
777 |
771 |
$0.04 |
| 90700 |
|
54 |
54 |
$0.02 |
| 90696 |
|
108 |
108 |
$0.02 |
| 90734 |
|
509 |
507 |
$0.00 |
| 90670 |
|
1,613 |
1,599 |
$0.00 |
| 90715 |
|
158 |
158 |
$0.00 |
| 90671 |
|
21 |
21 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 90651 |
|
402 |
400 |
$0.00 |
| 90656 |
|
51 |
51 |
$0.00 |
| 90620 |
|
324 |
323 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |