| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,769 |
2,282 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,458 |
1,201 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
684 |
612 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
712 |
584 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
242 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
847 |
742 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
245 |
232 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
291 |
260 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
159 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
117 |
110 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
41 |
$983.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
42 |
$750.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
55 |
$580.00 |
| 87807 |
|
94 |
87 |
$479.44 |
| 90671 |
|
79 |
72 |
$286.02 |
| 90686 |
|
15 |
15 |
$197.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$138.89 |
| 90461 |
|
454 |
331 |
$72.00 |
| 90633 |
|
13 |
12 |
$30.00 |
| 90697 |
|
58 |
43 |
$0.00 |
| 96127 |
|
403 |
335 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
24 |
15 |
$0.00 |
| 99173 |
|
775 |
630 |
$0.00 |
| 90670 |
|
120 |
89 |
$0.00 |
| 90681 |
|
14 |
12 |
$0.00 |
| 99499 |
|
39 |
38 |
$0.00 |