| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,037 |
5,703 |
$444K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,122 |
3,122 |
$289K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,362 |
7,291 |
$286K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,114 |
3,000 |
$268K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,717 |
2,632 |
$267K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,208 |
2,208 |
$204K |
| 92587 |
|
3,262 |
3,257 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,954 |
1,905 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
517 |
517 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,258 |
2,209 |
$32K |
| 99460 |
|
340 |
340 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
334 |
334 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
478 |
472 |
$18K |
| 96127 |
|
2,280 |
2,279 |
$9K |
| 96161 |
|
1,281 |
1,215 |
$6K |
| 54150 |
|
72 |
72 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
656 |
656 |
$5K |
| 0072A |
|
125 |
125 |
$5K |
| 0071A |
|
121 |
121 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
127 |
$5K |
| 90480 |
|
103 |
103 |
$4K |
| 99173 |
|
1,575 |
1,574 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 99462 |
|
57 |
49 |
$2K |
| 0082A |
|
37 |
37 |
$1K |
| 0081A |
|
31 |
31 |
$1K |
| 87807 |
|
101 |
98 |
$1K |
| 87430 |
|
74 |
73 |
$1K |
| 96380 |
|
30 |
29 |
$466.34 |
| 90656 |
|
160 |
159 |
$16.00 |
| 90686 |
|
1,673 |
1,671 |
$3.00 |
| 90651 |
|
116 |
116 |
$1.00 |
| 90734 |
|
51 |
51 |
$0.00 |
| 91308 |
|
92 |
85 |
$0.00 |
| 90670 |
|
966 |
964 |
$0.00 |
| 90633 |
|
334 |
334 |
$0.00 |
| 90707 |
|
408 |
407 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90380 |
|
17 |
16 |
$0.00 |
| 90680 |
|
698 |
697 |
$0.00 |
| 90723 |
|
741 |
740 |
$0.00 |
| 90716 |
|
420 |
419 |
$0.00 |
| 90647 |
|
753 |
751 |
$0.00 |
| 90677 |
|
122 |
121 |
$0.00 |
| 91318 |
|
17 |
17 |
$0.00 |
| 91307 |
|
253 |
235 |
$0.00 |
| 90696 |
|
66 |
66 |
$0.00 |