| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,242 |
11,110 |
$545K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,249 |
4,705 |
$371K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,707 |
4,418 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,387 |
1,340 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,269 |
1,235 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,168 |
1,130 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
971 |
943 |
$55K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,069 |
1,010 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,742 |
2,629 |
$46K |
| 90461 |
|
1,662 |
1,554 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,569 |
1,522 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
462 |
447 |
$17K |
| 90686 |
|
481 |
475 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
42 |
$5K |
| 90734 |
|
83 |
66 |
$4K |
| 90651 |
|
43 |
28 |
$3K |
| 90710 |
|
178 |
102 |
$3K |
| 90670 |
|
381 |
210 |
$2K |
| 0071A |
|
37 |
37 |
$775.00 |
| 90633 |
|
260 |
139 |
$643.95 |
| 81002 |
|
1,927 |
1,884 |
$486.06 |
| 0072A |
|
17 |
17 |
$375.00 |
| 99173 |
|
652 |
535 |
$352.74 |
| 90715 |
|
27 |
16 |
$299.65 |
| 90648 |
|
223 |
118 |
$88.15 |
| 90700 |
|
68 |
40 |
$68.30 |
| 91300 |
|
15 |
14 |
$3.00 |
| 90698 |
|
77 |
37 |
$0.00 |
| 91307 |
|
84 |
81 |
$0.00 |
| 90744 |
|
26 |
13 |
$0.00 |