| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,653 |
6,860 |
$368K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,474 |
1,333 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,583 |
2,329 |
$106K |
| 87428 |
|
1,769 |
1,621 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,356 |
1,252 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
601 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
413 |
368 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,277 |
2,718 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,884 |
2,643 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
694 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
426 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
144 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,024 |
468 |
$8K |
| 92587 |
|
981 |
888 |
$8K |
| 96127 |
|
1,521 |
1,218 |
$6K |
| 99177 |
|
1,332 |
1,212 |
$4K |
| 96160 |
|
935 |
839 |
$3K |
| 87807 |
|
318 |
302 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
40 |
$2K |
| 90688 |
|
1,010 |
934 |
$734.54 |
| 90461 |
|
1,356 |
1,206 |
$681.95 |
| 90710 |
|
113 |
101 |
$500.04 |
| 3008F |
|
200 |
192 |
$470.01 |
| 99050 |
|
34 |
33 |
$438.14 |
| 87420 |
|
53 |
43 |
$358.11 |
| 90670 |
|
408 |
382 |
$211.86 |
| 96161 |
|
100 |
69 |
$209.32 |
| 90698 |
|
553 |
478 |
$106.79 |
| 90672 |
|
17 |
13 |
$76.71 |
| 85018 |
|
41 |
37 |
$61.94 |
| 36416 |
|
380 |
345 |
$32.13 |
| 90744 |
|
99 |
82 |
$25.12 |
| 90658 |
|
83 |
81 |
$21.86 |
| 94760 |
|
19 |
12 |
$16.65 |
| 90687 |
|
77 |
74 |
$0.00 |
| 90633 |
|
44 |
42 |
$0.00 |
| 90696 |
|
34 |
28 |
$0.00 |
| 90680 |
|
221 |
194 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 90619 |
|
20 |
12 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |