| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,391 |
4,447 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
905 |
813 |
$47K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,220 |
1,134 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
701 |
639 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
671 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
839 |
762 |
$9K |
| 87807 |
|
666 |
607 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
139 |
$6K |
| 90648 |
|
358 |
354 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
166 |
131 |
$4K |
| 90670 |
|
324 |
319 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
346 |
$4K |
| 90723 |
|
282 |
281 |
$4K |
| 90677 |
|
355 |
298 |
$4K |
| 90680 |
|
251 |
218 |
$3K |
| 90633 |
|
222 |
200 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
866 |
633 |
$2K |
| 90697 |
|
212 |
161 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$1K |
| 90716 |
|
88 |
76 |
$985.50 |
| 90707 |
|
92 |
77 |
$985.50 |
| 99381 |
|
12 |
12 |
$549.09 |
| 83655 |
|
37 |
27 |
$456.56 |
| 86308 |
|
57 |
57 |
$417.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
25 |
$311.62 |
| 96127 |
|
99 |
86 |
$212.42 |
| 90681 |
|
14 |
14 |
$183.96 |
| 81003 |
|
30 |
27 |
$48.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
37 |
$26.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
18 |
$11.51 |
| 96161 |
|
1,023 |
915 |
$0.00 |
| 36416 |
|
127 |
115 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |
| 90461 |
|
53 |
48 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
68 |
$0.00 |