| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,116 |
19,841 |
$1.46M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,149 |
8,052 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,937 |
1,860 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,033 |
2,033 |
$192K |
| 87631 |
|
1,587 |
1,564 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,536 |
1,536 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,083 |
1,021 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
606 |
606 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,310 |
2,292 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
440 |
438 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
459 |
364 |
$11K |
| 92551 |
|
967 |
966 |
$7K |
| 99173 |
|
3,275 |
3,275 |
$6K |
| 99051 |
|
400 |
396 |
$4K |
| 96127 |
|
524 |
484 |
$3K |
| 90480 |
|
75 |
74 |
$3K |
| 0071A |
|
50 |
50 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$476.13 |
| 87807 |
|
19 |
19 |
$313.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$273.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$240.56 |
| 85018 |
|
12 |
12 |
$29.28 |
| 90686 |
|
68 |
68 |
$20.03 |