| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,832 |
1,660 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
215 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,098 |
1,049 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
54 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
540 |
516 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
267 |
238 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
122 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
41 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
112 |
95 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99050 |
|
61 |
57 |
$2K |
| 0002A |
|
12 |
12 |
$499.56 |
| 90686 |
|
549 |
308 |
$465.16 |
| 99173 |
|
167 |
165 |
$361.90 |
| 99188 |
|
26 |
26 |
$289.92 |
| 96127 |
|
40 |
36 |
$249.08 |
| 94760 |
|
65 |
65 |
$116.98 |