| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,296 |
1,933 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
647 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
559 |
526 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
997 |
905 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
418 |
381 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,346 |
1,257 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
904 |
834 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
301 |
292 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
45 |
14 |
$2K |
| 99499 |
|
141 |
113 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
45 |
29 |
$951.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
29 |
$735.28 |
| 92551 |
|
45 |
44 |
$363.88 |
| 99173 |
|
48 |
47 |
$94.00 |
| 85018 |
|
36 |
28 |
$56.64 |
| 90670 |
|
258 |
237 |
$0.00 |
| 90648 |
|
283 |
251 |
$0.00 |
| 90685 |
|
62 |
53 |
$0.00 |
| 90723 |
|
87 |
80 |
$0.00 |
| 90686 |
|
145 |
132 |
$0.00 |