| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,762 |
4,972 |
$362K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,572 |
2,353 |
$238K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,319 |
2,201 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,224 |
1,185 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
981 |
955 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
888 |
832 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
516 |
506 |
$47K |
| 90461 |
|
1,762 |
1,570 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
790 |
714 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,939 |
715 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,086 |
881 |
$11K |
| 99215 |
Prolong outpt/office vis |
65 |
64 |
$8K |
| 99383 |
|
49 |
49 |
$6K |
| 99188 |
|
197 |
187 |
$5K |
| 99384 |
|
25 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
254 |
229 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$836.19 |
| 96127 |
|
370 |
332 |
$439.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
69 |
$436.17 |
| 90633 |
|
220 |
211 |
$321.30 |
| 81002 |
|
130 |
124 |
$298.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
15 |
$263.22 |
| 90710 |
|
94 |
94 |
$236.03 |
| 90670 |
|
313 |
307 |
$108.76 |
| 90648 |
|
181 |
176 |
$98.76 |
| 90696 |
|
54 |
54 |
$56.18 |
| 90680 |
|
166 |
158 |
$25.00 |
| 90651 |
|
46 |
46 |
$0.00 |
| 90723 |
|
45 |
43 |
$0.00 |
| 92551 |
|
18 |
14 |
$0.00 |
| 90677 |
|
17 |
15 |
$0.00 |
| 90686 |
|
138 |
135 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 99173 |
|
477 |
430 |
$0.00 |
| 90715 |
|
21 |
21 |
$0.00 |
| 90734 |
|
67 |
67 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |