| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,885 |
7,473 |
$543K |
| 99199 |
Unlisted special service, procedure or report |
79,677 |
50,862 |
$442K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,884 |
2,574 |
$261K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,402 |
2,058 |
$227K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,331 |
1,180 |
$126K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,525 |
5,620 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,329 |
1,140 |
$115K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,866 |
3,332 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,080 |
4,331 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
427 |
$16K |
| 90474 |
|
768 |
716 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
144 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,190 |
547 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
543 |
526 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
201 |
171 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
553 |
498 |
$5K |
| 92551 |
|
3,244 |
2,849 |
$4K |
| 96161 |
|
851 |
751 |
$3K |
| 99173 |
|
3,706 |
3,264 |
$3K |
| 99401 |
|
93 |
62 |
$2K |
| 83655 |
|
159 |
127 |
$2K |
| 85018 |
|
1,487 |
1,289 |
$2K |
| 80061 |
Lipid panel |
105 |
95 |
$1K |
| 96127 |
|
199 |
191 |
$793.97 |
| 81003 |
|
333 |
290 |
$546.63 |
| 99050 |
|
12 |
12 |
$308.87 |
| 90619 |
|
57 |
44 |
$304.80 |
| 81002 |
|
118 |
114 |
$198.70 |
| 90633 |
|
240 |
183 |
$113.10 |
| 90686 |
|
1,462 |
1,298 |
$72.41 |
| 94760 |
|
16 |
12 |
$4.14 |
| 90680 |
|
808 |
747 |
$0.00 |
| 90697 |
|
181 |
144 |
$0.00 |
| 90698 |
|
235 |
235 |
$0.00 |
| 90656 |
|
44 |
44 |
$0.00 |
| 90744 |
|
42 |
42 |
$0.00 |
| 90647 |
|
38 |
35 |
$0.00 |
| 90723 |
|
63 |
58 |
$0.00 |
| 90670 |
|
1,498 |
1,326 |
$0.00 |
| 90671 |
|
60 |
59 |
$0.00 |
| 90648 |
|
58 |
57 |
$0.00 |
| 90710 |
|
20 |
14 |
$0.00 |