| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,445 |
13,556 |
$868K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,335 |
4,141 |
$357K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,709 |
5,272 |
$144K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,715 |
8,410 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,038 |
2,018 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
400 |
400 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
337 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
239 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
198 |
194 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,421 |
1,369 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
380 |
368 |
$10K |
| 96127 |
|
488 |
463 |
$7K |
| 99215 |
Prolong outpt/office vis |
58 |
55 |
$5K |
| 87081 |
|
480 |
463 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
45 |
$2K |
| 99051 |
|
145 |
141 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
65 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
26 |
$1K |
| 99177 |
|
64 |
64 |
$987.60 |
| 90461 |
|
497 |
476 |
$794.12 |
| 99050 |
|
14 |
14 |
$195.36 |
| 92552 |
|
12 |
12 |
$140.58 |
| 90686 |
|
3,709 |
3,648 |
$90.12 |
| ATP03 |
|
12 |
12 |
$82.20 |
| 99000 |
|
258 |
248 |
$3.00 |
| 99072 |
|
1,600 |
1,514 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90656 |
|
62 |
62 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |