| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,109 |
13,428 |
$347K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,842 |
3,702 |
$94K |
| 90686 |
|
2,839 |
2,766 |
$52K |
| 90670 |
|
2,545 |
2,487 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,640 |
3,516 |
$42K |
| 90647 |
|
1,556 |
1,522 |
$29K |
| 90723 |
|
1,518 |
1,476 |
$28K |
| 90680 |
|
1,266 |
1,237 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,613 |
1,564 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
867 |
786 |
$17K |
| 96160 |
|
4,880 |
4,661 |
$17K |
| 90685 |
|
560 |
550 |
$11K |
| 99381 |
|
87 |
81 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
119 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
326 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
833 |
817 |
$5K |
| 90633 |
|
218 |
213 |
$4K |
| 90672 |
|
184 |
181 |
$3K |
| 87428 |
|
91 |
90 |
$3K |
| 0072A |
|
70 |
67 |
$2K |
| 90710 |
|
102 |
102 |
$2K |
| 0071A |
|
50 |
49 |
$2K |
| 0001A |
|
45 |
44 |
$2K |
| 0002A |
|
45 |
45 |
$2K |
| 90677 |
|
68 |
67 |
$1K |
| 90651 |
|
28 |
28 |
$560.48 |
| 90660 |
|
21 |
21 |
$395.28 |
| 96127 |
|
108 |
104 |
$379.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
32 |
$287.75 |
| 99173 |
|
2,227 |
2,167 |
$227.34 |
| 90700 |
|
13 |
13 |
$219.60 |
| 36415 |
Collection of venous blood by venipuncture |
152 |
129 |
$207.11 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$42.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
14 |
$40.00 |
| 94760 |
|
10,247 |
9,224 |
$6.60 |
| 99174 |
|
518 |
494 |
$5.74 |
| 99072 |
|
1,137 |
1,082 |
$5.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 99188 |
|
60 |
55 |
$0.00 |